go back

Michigan rates for HCPCS L5848

Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.36 / $741.36 / $741.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.79 / $741.36 / $741.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.62 / $973.62 / $973.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,964.84 / $3,914.73 / $7,130.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.25 / $1,298.16 / $1,752.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.58 / $843.80 / $848.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.53 / $1,038.53 / $1,038.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.63 / $724.63 / $724.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.63 / $724.63 / $1,504.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.36 / $938.11 / $938.11
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.36 / $938.11 / $1,363.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.54 / $960.64 / $1,104.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.12 / $620.60 / $929.12