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Michigan rates for HCPCS L5858

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

Facilitymedian $27,542 · 10th–90th $12,882$91,2010%20%10th90th$27,542Professionalmedian $12,303 · 10th–90th $9,772$22,3870%20%10th90th$12,303$20.0$100.0$500.0$2.0K$10.0K$50.0K$200.0K

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
$12,882.50 / $12,882.50 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $11,481.54 / $16,982.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $67,608.30 / $128,824.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22,387.21 / $22,387.21 / $23,442.29
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $14,791.08 / $14,791.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $14,454.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $14,454.40 / $24,547.09
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $42,657.95 / $47,863.01
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,481.54 / $18,197.01 / $27,542.29
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $14,454.40
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $15,488.17 / $22,387.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $18,197.01 / $27,542.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $10,715.19 / $15,848.93