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Minnesota rates for HCPCS L5331

Hip disarticulation, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,388.44 / $5,248.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $6,309.57 / $9,332.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $6,309.57 / $6,309.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $23,988.33 / $56,234.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,244.36 / $8,317.64 / $9,332.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $23,442.29 / $44,668.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,244.36 / $7,244.36 / $10,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $6,309.57 / $12,022.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,754.23 / $7,413.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $3,715.35 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,162.28 / $7,413.10