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Michigan rates for HCPCS L5980

All lower extremity prostheses, flex-foot system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,618.94 / $2,618.94 / $7,123.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,182.44 / $2,618.94 / $2,618.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,941.00 / $13,829.15 / $25,187.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,356.58 / $4,585.87 / $6,190.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,892.60 / $2,892.60 / $2,980.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,668.70 / $3,668.70 / $3,668.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,780.72 / $2,780.72 / $2,780.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,780.72 / $2,780.72 / $5,316.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,618.94 / $3,313.96 / $7,123.90
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,539.08 / $3,313.96 / $4,815.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,782.70 / $3,393.54 / $3,902.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,850.11 / $2,220.13 / $3,537.56