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Minnesota rates for HCPCS L5705

Custom Shaped Protective Cover Above Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.42 / $1,159.42 / $1,159.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.83 / $981.81 / $1,159.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.77 / $1,384.22 / $1,927.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.38 / $1,315.01 / $1,384.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.43 / $4,270.62 / $11,861.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,604.63 / $1,700.90 / $2,037.87
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,535.42 / $4,097.45 / $9,339.60
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,604.63 / $1,604.63 / $1,651.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.86 / $1,384.22 / $5,814.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.82 / $621.12 / $1,390.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.82 / $621.12 / $1,453.43