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Minnesota rates for HCPCS L5696

Addition To Lower Extremity Above Knee Or Knee Disarticulation Pelvic Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.04 / $198.04 / $198.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.97 / $195.56 / $198.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.55 / $236.44 / $329.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.15 / $224.62 / $236.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.76 / $729.36 / $2,025.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.13 / $290.57 / $348.14
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.01 / $699.78 / $1,595.06
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.13 / $274.13 / $282.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.67 / $236.44 / $1,184.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.86 / $117.96 / $238.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.68 / $296.08 / $355.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.86 / $110.79 / $237.43