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Michigan rates for HCPCS L5973

Endoskeletal Ankle Foot System, Microprocessor Controlled Featu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,171.77 / $12,171.77 / $12,171.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,115.26 / $12,171.77 / $12,171.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,258.94 / $64,272.24 / $117,060.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,247.59 / $21,313.25 / $28,772.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,408.48 / $13,573.49 / $13,853.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,050.59 / $17,050.59 / $17,050.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,752.32 / $12,752.32 / $12,752.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,752.32 / $12,752.32 / $24,708.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,171.77 / $15,401.95 / $15,401.95
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,171.77 / $15,401.95 / $23,971.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $75.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,824.10 / $10,189.10 / $15,648.19