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Michigan rates for HCPCS L5610

Addition to lower extremity, endoskeletal system, above knee (AK), hydracadence system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,733.94 / $1,733.94 / $1,733.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.57 / $1,733.94 / $1,733.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,595.47 / $9,155.95 / $16,676.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.39 / $3,036.20 / $4,098.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.22 / $1,615.22 / $1,973.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,428.96 / $2,428.96 / $2,428.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,552.76 / $1,552.76 / $1,552.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.51 / $2,524.54 / $4,399.68
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,733.94 / $2,194.09 / $2,194.09
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.94 / $2,194.09 / $3,188.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,842.36 / $2,246.79 / $2,583.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.09 / $1,451.50 / $2,066.19