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Michigan rates for HCPCS L5644

Addition to lower extremity, above knee (AK), wood socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.85 / $404.85 / $404.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.15 / $404.85 / $452.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.98 / $2,137.79 / $3,893.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.46 / $708.91 / $957.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.79 / $460.79 / $460.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.13 / $567.13 / $567.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.59 / $458.59 / $458.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.59 / $458.59 / $822.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.85 / $512.29 / $512.29
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.85 / $512.29 / $744.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.16 / $524.59 / $603.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.73 / $353.67 / $544.99