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Minnesota rates for HCPCS L5312

Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $4,265.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,570.40 / $4,265.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,128.61 / $7,413.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $5,128.61 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $19,054.61 / $45,708.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $6,760.83 / $7,585.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $19,054.61 / $36,307.81
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $5,888.44 / $7,943.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $5,128.61 / $9,120.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,137.96 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $2,630.27 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,238.72 / $5,888.44