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Minnesota rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.39 / $266.39 / $266.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.63 / $251.35 / $266.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.43 / $383.40 / $533.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.72 / $364.23 / $383.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $1,182.49 / $3,284.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.38 / $471.04 / $564.36
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.03 / $1,134.54 / $2,586.04
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.38 / $444.38 / $457.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.61 / $383.40 / $1,848.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.90 / $183.29 / $399.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.90 / $191.27 / $394.90