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Michigan rates for HCPCS L5726

Addition, exoskeletal knee-shin system, single axis, external joints, fluid swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.98 / $1,417.98 / $1,417.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.65 / $1,417.98 / $1,417.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,758.09 / $7,487.55 / $13,637.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,358.79 / $2,482.94 / $3,351.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,357.14 / $1,546.29 / $1,613.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,986.35 / $1,986.35 / $1,986.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.19 / $1,606.19 / $1,606.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,606.19 / $1,606.19 / $2,878.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.98 / $1,794.30 / $1,794.30
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,417.98 / $1,794.30 / $2,607.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.65 / $1,837.38 / $2,112.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.03 / $1,166.00 / $1,659.04