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Michigan rates for HCPCS L5535

Preparatory, below knee (BK) PTB type socket, nonalignable system, no cover, SACH foot, prefabricated, adjustable open end socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,333.63 / $1,333.63 / $1,333.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.35 / $1,333.63 / $1,333.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,534.53 / $7,042.15 / $12,826.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,218.48 / $2,335.23 / $3,152.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,323.00 / $1,399.50 / $1,517.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,868.19 / $1,868.19 / $1,868.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.83 / $1,271.83 / $1,271.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.83 / $1,271.83 / $2,707.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,333.63 / $1,687.54 / $1,687.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.31 / $1,687.54 / $2,452.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,417.02 / $1,728.08 / $1,987.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.19 / $1,116.39 / $1,671.36