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Minnesota rates for HCPCS L5706

Custom shaped protective cover, knee disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $676.08 / $1,122.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,348.96 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,011.87 / $12,022.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,778.28 / $1,995.26
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $4,897.79 / $9,549.93
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $2,137.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,348.96 / $2,454.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $562.34 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $724.44 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $630.96 / $1,584.89