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Michigan rates for HCPCS L5810

Addition Endoskeletal Knee-Shin System Single Axis Manual Lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.11 / $392.11 / $392.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.18 / $392.11 / $392.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.21 / $2,070.51 / $3,771.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.27 / $686.60 / $926.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.83 / $389.68 / $446.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.28 / $549.28 / $549.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.85 / $483.85 / $483.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.85 / $483.85 / $796.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.11 / $496.18 / $496.18
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.11 / $496.18 / $720.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.62 / $508.08 / $584.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.42 / $389.42 / $389.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.94 / $328.24 / $462.36