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Michigan rates for HCPCS L5857

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type

Facilitymedian $12,589 · 10th–90th $5,888$41,6870%10%20%10th90th$12,589Professionalmedian $5,888 · 10th–90th $4,467$10,2330%20%10th90th$5,888$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $5,888.44 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,248.07 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $30,902.95 / $58,884.37
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,232.93 / $10,232.93 / $10,715.19
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $6,760.83 / $6,760.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $6,606.93 / $11,481.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $19,498.45 / $21,877.62
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $8,317.64 / $12,589.25
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $6,606.93
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $6,918.31 / $10,232.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $8,317.64 / $12,589.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,897.79 / $7,244.36