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Michigan rates for HCPCS L5714

Addition Exoskeletal Knee-Shin System Single Axis Variable Friction Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.52 / $300.52 / $300.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.95 / $300.52 / $300.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.48 / $1,586.90 / $2,890.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.92 / $526.23 / $710.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.05 / $346.67 / $350.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.98 / $420.98 / $420.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.42 / $340.42 / $340.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.42 / $340.42 / $610.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.52 / $380.28 / $380.28
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.52 / $380.28 / $552.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.31 / $389.41 / $447.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.71 / $251.57 / $385.95