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Michigan rates for HCPCS L5718

Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.42 / $635.42 / $635.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.15 / $635.42 / $635.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,684.09 / $3,355.37 / $6,111.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.04 / $1,112.67 / $1,502.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.70 / $710.70 / $723.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.14 / $890.14 / $890.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.79 / $719.79 / $719.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.79 / $719.79 / $1,290.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.42 / $804.09 / $804.09
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.42 / $804.09 / $1,279.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.17 / $823.38 / $946.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.57 / $545.48 / $840.57