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Michigan rates for HCPCS L5811

Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.12 / $541.12 / $541.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.93 / $541.12 / $567.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,434.13 / $2,857.34 / $5,204.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.14 / $947.52 / $1,279.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.98 / $568.98 / $615.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.02 / $758.02 / $758.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.94 / $612.94 / $612.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.94 / $612.94 / $1,098.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.12 / $684.72 / $684.72
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.12 / $684.72 / $1,065.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $418.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $577.08 / $672.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.92 / $452.98 / $678.16