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Minnesota rates for HCPCS L2624

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.64 / $326.64 / $326.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.32 / $326.64 / $326.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.72 / $470.12 / $654.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.10 / $446.61 / $470.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.02 / $1,450.44 / $4,028.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.88 / $577.57 / $691.99
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.11 / $1,391.63 / $3,172.03
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.88 / $544.88 / $560.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.75 / $470.12 / $2,011.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.08 / $206.63 / $482.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.97 / $184.46 / $186.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.08 / $206.63 / $639.16