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Michigan rates for HCPCS L5671

Addition To Lower Extremity Below Knee / Above Knee Suspension Locking Mechanism (Shuttle Lanyard Or Equal) Excludes Socket Insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.95 / $340.95 / $913.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.16 / $340.95 / $340.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.02 / $597.02 / $597.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.63 / $1,800.37 / $3,279.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.16 / $597.02 / $805.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.06 / $388.06 / $448.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.62 / $477.62 / $477.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $380.63 / $380.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.63 / $380.63 / $692.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.43 / $913.30 / $1,022.81
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.70 / $431.43 / $671.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.26 / $441.79 / $508.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.21 / $297.85 / $458.97