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Michigan rates for HCPCS L5970

All Lower Extremity Prostheses Foot External Keel Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.75 / $149.75 / $149.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.04 / $149.75 / $157.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.90 / $790.78 / $1,440.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.12 / $262.23 / $354.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.44 / $170.45 / $171.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.78 / $209.78 / $209.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.91 / $184.91 / $184.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.91 / $184.91 / $304.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.75 / $189.49 / $189.49
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.75 / $189.49 / $275.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.12 / $194.05 / $223.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.34 / $125.36 / $187.40