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Michigan rates for HCPCS L5651

Addition to lower extremity, above knee (AK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.41 / $980.41 / $980.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.19 / $980.41 / $980.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.55 / $1,287.55 / $1,287.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,598.38 / $5,176.97 / $9,428.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.89 / $1,716.73 / $2,317.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.90 / $936.90 / $1,115.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.38 / $1,373.38 / $1,373.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.11 / $1,200.11 / $1,200.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.11 / $1,200.11 / $1,990.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.41 / $1,240.59 / $1,240.59
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.10 / $1,240.59 / $1,802.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.71 / $1,270.38 / $1,460.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.25 / $820.71 / $1,169.86