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Minnesota rates for HCPCS L5653

Addition To Lower Extremity Knee Disarticulation Expandable Wall Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.87 / $683.87 / $683.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.74 / $677.63 / $683.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.42 / $816.48 / $1,136.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.17 / $775.66 / $816.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.76 / $2,519.13 / $6,996.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.50 / $1,003.29 / $1,202.06
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,495.58 / $2,416.98 / $5,509.19
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.50 / $946.50 / $974.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.73 / $816.48 / $3,703.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.33 / $389.89 / $819.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.33 / $371.05 / $819.88