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Michigan rates for HCPCS L5711

Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.74 / $413.74 / $413.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.79 / $413.74 / $413.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.54 / $2,184.73 / $3,979.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.26 / $724.48 / $978.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.76 / $425.65 / $470.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.58 / $579.58 / $579.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.67 / $468.67 / $468.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.67 / $468.67 / $840.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.74 / $523.54 / $523.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.74 / $523.54 / $814.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $299.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.20 / $383.20 / $383.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.55 / $346.36 / $518.53