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Minnesota rates for HCPCS L5698

Addition To Lower Extremity Above Knee Or Knee Disarticulation Silesian Bandage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.65 / $120.65 / $120.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.01 / $110.24 / $120.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.39 / $144.04 / $200.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.23 / $136.84 / $144.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.25 / $444.86 / $1,235.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.88 / $176.89 / $211.93
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.11 / $426.82 / $972.88
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.88 / $166.88 / $172.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.53 / $144.04 / $682.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $69.75 / $144.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $82.54 / $83.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $62.46 / $144.65