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Michigan rates for HCPCS L5981

All lower extremity prostheses, flex-walk system or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,352.44 / $4,994.72 / $6,991.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,890.96 / $2,352.44 / $2,352.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,089.42 / $3,089.42 / $4,119.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,234.70 / $12,421.92 / $22,624.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,913.26 / $4,119.22 / $5,560.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,336.83 / $2,500.26 / $2,677.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,295.38 / $3,295.38 / $3,295.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.07 / $2,160.07 / $2,160.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,160.07 / $2,160.07 / $4,775.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,976.75 / $4,994.72 / $6,991.92
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,156.58 / $2,976.75 / $4,325.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,499.54 / $3,048.22 / $3,505.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.18 / $1,969.25 / $2,752.37