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Michigan rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Facilitymedian $589 · 10th–90th $275–$1,9500%20%10th90th$589Professionalmedian $269 · 10th–90th $214–$4790%20%10th90th$269$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $251.19 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $1,445.44 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $501.19
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $275.42 / $537.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $912.01 / $1,023.29
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $389.05 / $588.84
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $338.84 / $489.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $389.05 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $229.09 / $338.84