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Michigan rates for HCPCS L5682

Addition to lower extremity, below knee (BK), thigh lacer, gluteal/ischial, molded

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
$338.84 / $426.58 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,238.72 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $758.58 / $794.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $489.78 / $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
$380.19 / $602.56 / $912.01
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $489.78 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $602.56 / $1,023.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $371.54 / $575.44