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Michigan rates for HCPCS L8400

Prosthetic sheath, below knee, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.79 / $10.79 / $10.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.23 / $10.79 / $10.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.89 / $18.89 / $18.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.59 / $57.47 / $103.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.95 / $18.89 / $25.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.28 / $13.55 / $14.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.11 / $15.11 / $15.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $14.44 / $14.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $14.44 / $21.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.79 / $13.65 / $13.65
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.69 / $13.65 / $21.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.46 / $13.98 / $16.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $9.43 / $14.52