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Minnesota rates for HCPCS L5676

Additions To Lower Extremity Below Knee Knee Joints Single Axis Pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.30 / $364.30 / $364.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.70 / $364.30 / $391.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.58 / $434.94 / $605.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.95 / $413.19 / $434.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.77 / $1,341.81 / $3,726.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.38 / $534.64 / $640.55
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.62 / $1,287.40 / $2,934.46
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.38 / $504.38 / $518.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.28 / $434.94 / $2,350.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.66 / $228.23 / $467.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.66 / $242.30 / $464.33