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Minnesota rates for HCPCS L5280

Hemipelvectomy 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
$6,123.10 / $6,123.10 / $6,123.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,824.92 / $5,897.01 / $6,123.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,262.26 / $7,310.32 / $10,179.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,848.26 / $6,944.80 / $7,310.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.96 / $22,555.26 / $62,645.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,475.00 / $8,983.50 / $10,763.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,390.79 / $21,640.67 / $49,327.03
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,475.00 / $8,475.00 / $8,720.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,027.32 / $7,310.32 / $34,402.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,032.55 / $3,410.98 / $7,340.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,926.06 / $8,148.31 / $9,777.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,032.55 / $3,409.61 / $7,340.87