go back

Minnesota rates for HCPCS L5270

Hip Disarticulation Tilt Table Type; Molded Socket Locking Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,299.24 / $6,299.24 / $6,299.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,846.72 / $5,722.23 / $6,299.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,442.41 / $7,520.60 / $10,472.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,016.48 / $7,144.57 / $7,520.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,865.01 / $23,204.96 / $64,449.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,718.75 / $9,241.87 / $11,072.81
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,776.51 / $22,264.02 / $50,747.88
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,718.75 / $8,718.75 / $8,972.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.79 / $7,520.60 / $33,007.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,053.08 / $3,445.43 / $7,552.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,320.94 / $5,320.94 / $5,320.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,053.08 / $3,444.04 / $8,423.07