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Michigan rates for HCPCS L5634

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

Facilitymedian $501 · 10th–90th $234–$1,6600%10%20%10th90th$501Professionalmedian $229 · 10th–90th $158–$4070%20%10th90th$229$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
$234.42 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $204.17 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $1,230.27 / $2,344.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $426.58
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
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 / $457.09
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $776.25 / $870.96
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $323.59 / $501.19
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 / $288.40 / $407.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $331.13 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $190.55 / $288.40