go back

Minnesota rates for HCPCS L5702

Replacement Socket Hip Disarticulation Including Hip Joint Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,849.53 / $4,849.53 / $4,849.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,399.05 / $4,849.53 / $4,849.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,959.75 / $5,789.81 / $8,062.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,631.85 / $5,500.32 / $5,789.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,745.37 / $17,864.61 / $49,617.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,712.13 / $7,114.85 / $8,524.40
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,606.01 / $17,140.22 / $39,068.85
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,712.13 / $6,712.13 / $6,907.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,729.89 / $5,789.81 / $27,462.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,734.35 / $2,905.03 / $5,814.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,734.35 / $2,905.03 / $5,814.01