go back

Minnesota rates for HCPCS L5613

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with hydraulic swing phase control

Facilitymedian $3,388 · 10th–90th $2,455–$21,3800%20%10th90th$3,388Professionalmedian $2,951 · 10th–90th $1,479–$3,3880%50%10th90th$2,951$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,862.09 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,951.21 / $3,801.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,951.21 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $10,964.78 / $26,302.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,890.45 / $4,365.16
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $10,964.78 / $21,379.62
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,388.44 / $4,677.35
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,951.21 / $15,488.17
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,479.11 / $3,801.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $1,949.84 / $4,786.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,819.70 / $4,073.80