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Michigan rates for HCPCS L5100

Below Knee, Molded Socket, Shin, Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,880.99 / $1,880.99 / $1,880.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.41 / $1,880.99 / $1,880.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,985.21 / $9,932.45 / $18,090.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,129.01 / $3,293.69 / $4,446.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,865.14 / $1,877.39 / $2,140.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,634.95 / $2,634.95 / $2,634.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.07 / $1,743.07 / $1,743.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.44 / $2,738.64 / $4,772.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,880.99 / $2,380.17 / $2,380.17
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,863.63 / $2,380.17 / $3,458.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,998.61 / $2,437.33 / $2,802.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,159.73 / $1,574.59 / $2,207.19