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Michigan rates for HCPCS L5510

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.08 / $1,214.08 / $1,214.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.58 / $1,214.08 / $1,214.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,217.68 / $6,410.86 / $11,676.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,019.61 / $2,125.90 / $2,869.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.81 / $1,135.81 / $1,381.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,700.72 / $1,700.72 / $1,700.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.24 / $1,375.24 / $1,375.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.24 / $1,375.24 / $2,464.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.08 / $1,536.28 / $1,536.28
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.08 / $1,536.28 / $2,232.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.19 / $1,573.17 / $1,809.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.47 / $1,016.31 / $1,420.48