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Michigan rates for HCPCS L5270

Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,294.93 / $4,294.93 / $4,294.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,261.48 / $4,294.93 / $4,294.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,382.90 / $22,679.12 / $41,306.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,144.57 / $7,520.60 / $10,152.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,012.42 / $4,029.93 / $4,888.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,016.48 / $6,016.48 / $6,016.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,865.01 / $4,865.01 / $4,865.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,865.01 / $4,865.01 / $8,718.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,294.93 / $5,434.75 / $5,434.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,294.93 / $5,434.75 / $7,896.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,730.45 / $5,565.24 / $6,400.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,320.94 / $5,320.94 / $5,320.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,566.35 / $3,595.33 / $5,025.07