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Michigan rates for HCPCS L5617

Addition To Lower Extremity Quick Change Self-Aligning Unit Above Knee Or Below Knee Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.74 / $385.74 / $385.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.27 / $385.74 / $385.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,022.34 / $2,036.89 / $3,709.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.67 / $675.45 / $911.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.51 / $439.04 / $441.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.36 / $540.36 / $540.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.96 / $436.96 / $436.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.96 / $436.96 / $783.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.74 / $488.12 / $488.12
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.74 / $488.12 / $759.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.81 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.47 / $322.91 / $483.45