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Minnesota rates for HCPCS L2627

Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.23 / $1,789.23 / $1,789.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.48 / $1,789.23 / $1,873.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,205.90 / $2,575.08 / $3,585.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,060.06 / $2,446.33 / $2,575.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.80 / $7,945.34 / $22,067.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,985.38 / $3,164.50 / $3,791.43
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,717.06 / $7,623.17 / $17,376.00
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,985.38 / $2,985.38 / $3,072.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.67 / $2,575.08 / $10,169.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.34 / $1,075.92 / $2,585.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.30 / $1,351.27 / $3,960.47