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Michigan rates for HCPCS L5618

Addition To Lower Extremity Test Socket Symes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.36 / $230.36 / $230.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.97 / $230.36 / $230.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.51 / $1,216.36 / $2,215.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.19 / $403.36 / $544.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.53 / $246.86 / $262.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.69 / $322.69 / $322.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.68 / $271.68 / $271.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.68 / $271.68 / $467.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.36 / $291.48 / $291.48
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.75 / $291.48 / $423.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.76 / $298.49 / $343.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.34 / $192.83 / $280.67