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Michigan rates for HCPCS L5712

Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.36 / $295.36 / $295.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.53 / $295.36 / $315.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.78 / $1,559.61 / $2,840.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.32 / $517.17 / $698.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.17 / $336.17 / $341.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.74 / $413.74 / $413.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.44 / $364.44 / $364.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.44 / $364.44 / $599.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.36 / $373.73 / $373.73
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.36 / $373.73 / $557.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.82 / $382.71 / $440.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.02 / $258.02 / $397.59