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Minnesota rates for HCPCS L5312

Knee Disarticulation (Or Through Knee) Molded Socket Single Axis Knee Pylon Each Foot Endoskeletal System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,268.32 / $4,268.32 / $4,268.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,924.20 / $3,668.13 / $4,268.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.32 / $5,095.91 / $7,095.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,076.73 / $4,841.10 / $5,095.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,001.57 / $15,723.09 / $43,669.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,907.75 / $6,262.22 / $7,502.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,334.61 / $15,085.53 / $34,385.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,907.75 / $5,907.75 / $6,079.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,986.64 / $5,095.91 / $21,089.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.73 / $2,205.53 / $5,117.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.73 / $2,183.82 / $5,095.91