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Michigan rates for HCPCS L5979

All Lower Extremity Prosthesis Multi-Axial Ankle Dynamic Response Foot One Piece System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.93 / $1,718.93 / $1,718.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.69 / $1,718.93 / $1,718.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,555.68 / $9,076.68 / $16,531.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,859.41 / $3,009.91 / $4,063.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,780.13 / $1,826.92 / $1,956.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.92 / $2,407.92 / $2,407.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,711.28 / $1,711.28 / $1,711.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,711.28 / $1,711.28 / $3,489.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.93 / $2,175.09 / $2,175.09
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,600.69 / $2,175.09 / $3,385.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.41 / $2,227.33 / $2,561.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.58 / $1,438.93 / $2,154.25