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Minnesota rates for HCPCS L5420

Immediate postsurgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change above knee (AK) or knee disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,037.47 / $2,037.47 / $2,037.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.71 / $1,708.38 / $2,037.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,083.78 / $2,432.52 / $3,387.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,946.02 / $2,310.89 / $2,432.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,573.58 / $7,505.66 / $20,846.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,820.00 / $2,989.20 / $3,581.40
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,456.02 / $7,201.31 / $16,414.43
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,820.00 / $2,820.00 / $2,902.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.22 / $2,421.51 / $9,671.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.78 / $1,017.87 / $2,442.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,261.08 / $1,261.08 / $1,261.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.78 / $1,017.87 / $3,240.12