go back

Michigan rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $380.19 / $588.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,238.72 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $741.31 / $776.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $870.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $1,412.54 / $1,584.89
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $588.84 / $912.01
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $602.56 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $354.81 / $524.81