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Michigan rates for HCPCS L5331

Hip Disarticulation Canadian Type Molded Socket Endoskeletal System Hip Joint Single Axis Knee Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,607.45 / $3,607.45 / $3,607.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,006.21 / $3,607.45 / $3,607.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,560.84 / $19,048.88 / $34,694.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,000.94 / $6,316.78 / $8,527.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,628.36 / $3,963.62 / $4,105.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,053.42 / $5,053.42 / $5,053.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,052.23 / $4,052.23 / $4,052.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,052.23 / $4,052.23 / $7,323.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,607.45 / $4,564.81 / $4,564.81
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,574.15 / $4,564.81 / $6,632.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,973.25 / $4,674.42 / $5,375.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,320.71 / $3,087.76 / $4,521.06