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Michigan rates for HCPCS L5634

Addition to lower extremity, Symes type, posterior opening (Canadian) socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.14 / $232.14 / $232.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.55 / $232.14 / $232.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.25 / $1,225.81 / $2,232.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.17 / $406.49 / $548.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.32 / $237.32 / $264.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.19 / $325.19 / $325.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.64 / $274.64 / $274.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.64 / $274.64 / $471.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.14 / $293.75 / $293.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.87 / $293.75 / $426.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.65 / $300.80 / $345.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.79 / $194.33 / $288.88