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Michigan rates for HCPCS L5160

Knee Disarticulation (Or Through Knee) Molded Socket Bent Knee Configuration External Knee Joints Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,240.23 / $3,240.23 / $3,240.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,417.84 / $3,240.23 / $3,240.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,587.61 / $17,109.82 / $31,162.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,390.08 / $5,673.77 / $7,659.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,979.89 / $2,979.89 / $3,687.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,539.02 / $4,539.02 / $4,539.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,670.30 / $3,670.30 / $3,670.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,670.30 / $3,670.30 / $6,577.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,240.23 / $4,100.13 / $4,100.13
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,240.23 / $4,100.13 / $5,957.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,442.84 / $4,198.59 / $4,828.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,160.15 / $2,664.42 / $4,060.83