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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
$1,130.85 / $1,130.85 / $1,130.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.40 / $963.24 / $1,130.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,156.56 / $1,350.12 / $1,880.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.09 / $1,282.60 / $1,350.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.73 / $4,166.13 / $11,571.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.25 / $1,659.17 / $1,987.87
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,473.38 / $3,997.20 / $9,111.09
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.25 / $1,565.25 / $1,610.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.87 / $1,350.12 / $5,705.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.80 / $609.37 / $1,355.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.23 / $595.23 / $595.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.80 / $561.29 / $1,355.76