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Michigan rates for HCPCS L5999

Lower extremity prosthesis, not otherwise specified

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.72 / $1,359.86 / $2,454.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,559.00 / $2,559.00 / $2,559.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.94 / $14.94 / $14.94