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Michigan rates for HCPCS L5812

Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.21 / $407.21 / $407.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.35 / $407.21 / $429.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.24 / $2,150.27 / $3,916.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.40 / $713.05 / $962.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.03 / $441.03 / $463.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.44 / $570.44 / $570.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.30 / $472.30 / $472.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.30 / $472.30 / $826.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.21 / $515.27 / $515.27
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.45 / $515.27 / $748.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.68 / $527.66 / $606.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.08 / $340.88 / $521.61