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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
$533.28 / $533.28 / $533.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.96 / $533.28 / $569.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.35 / $700.35 / $700.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,413.36 / $2,815.97 / $5,128.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.11 / $933.80 / $1,260.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.97 / $611.88 / $661.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.04 / $747.04 / $747.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.49 / $583.49 / $583.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.49 / $583.49 / $1,082.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.28 / $674.81 / $674.81
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.28 / $674.81 / $1,042.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.62 / $691.01 / $794.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.72 / $466.72 / $466.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.22 / $465.86 / $717.88