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Michigan rates for HCPCS L5816

Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.94 / $582.94 / $582.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.41 / $582.94 / $582.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.96 / $3,078.14 / $5,606.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.70 / $1,020.74 / $1,378.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.48 / $663.48 / $667.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.59 / $816.59 / $816.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.31 / $660.31 / $660.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.31 / $660.31 / $1,183.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.94 / $737.64 / $737.64
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.94 / $737.64 / $1,071.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.38 / $755.35 / $868.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.37 / $509.24 / $784.72