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Minnesota rates for HCPCS L5716

Addition Exoskeletal Knee-Shin System Polycentric Mechanical Stance Phase Lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.56 / $871.56 / $871.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.66 / $848.59 / $871.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.37 / $1,040.55 / $1,448.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.44 / $1,009.33 / $1,040.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.11 / $3,210.21 / $8,916.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.38 / $1,278.76 / $1,532.10
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.86 / $3,080.04 / $7,020.54
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.38 / $1,206.38 / $1,241.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.20 / $1,040.55 / $4,663.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.94 / $488.25 / $1,044.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.94 / $488.25 / $1,092.58