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Michigan rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Rates data updated July 2026.

How much does HCPCS L5637 cost?

$263

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $933 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$263$209 to $457
FacilityA hospital or hospital-owned outpatient department$933$263 to $1,148

How much rates vary

Facilitymedian $933 · 10th to 90th $263 to $1,738Professionalmedian $263 · 10th to 90th $182 to $457
$50$100$200$500$1K$2Kfacility $933professional $263

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$1,148.15
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$218.78
Typical High
$263.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$467.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,380.38
Typical High
$2,691.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$457.09
Typical High
$489.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$234.42
Typical High
$426.58
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$870.96
Typical High
$977.24
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$371.54
Typical High
$562.34
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$380.19
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$380.19
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$218.78
Typical High
$309.03

Where Michigan sits

The same service costs 2.7 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 19th of 51

$263

HI $490DE $182

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.