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Michigan rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Facilitymedian $60 · 10th–90th $27–$1910%20%10th90th$60Professionalmedian $27 · 10th–90th $20–$480%20%10th90th$27$0.1$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $26.92 / $36.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $144.54 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $50.12
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $29.51 / $58.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $91.20 / $102.33
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $38.02 / $58.88
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $33.11 / $53.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $38.90 / $64.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $23.99 / $36.31