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Michigan rates for HCPCS L5950

Addition, endoskeletal system, above knee (AK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $537.03 / $794.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $741.31 / $776.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,818.38 / $5,370.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $933.25 / $977.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $588.84 / $1,096.48
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,778.28 / $1,995.26
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $741.31 / $1,148.15
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $588.84 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $741.31 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $467.74 / $707.95