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Minnesota rates for HCPCS L5250

Hip Disarticulation Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,653.62 / $5,653.62 / $5,653.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,859.41 / $5,653.62 / $5,691.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,782.11 / $6,749.81 / $9,398.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,399.85 / $6,412.32 / $6,749.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,366.38 / $20,826.53 / $57,843.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,825.13 / $8,294.62 / $9,937.91
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,364.46 / $19,982.03 / $45,546.39
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,825.13 / $7,825.13 / $8,052.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,065.89 / $6,749.81 / $33,390.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,071.23 / $3,469.31 / $6,778.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,432.62 / $5,378.07 / $12,942.41