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Minnesota rates for HCPCS L5724

Addition, exoskeletal knee-shin system, single axis, fluid swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,746.86 / $1,746.86 / $1,746.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.84 / $1,715.00 / $1,746.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.56 / $2,085.56 / $2,904.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,668.45 / $1,981.28 / $2,085.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.13 / $6,434.90 / $17,872.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,417.63 / $2,562.67 / $3,070.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,820.32 / $6,173.97 / $14,072.75
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,417.63 / $2,417.63 / $2,488.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.99 / $2,085.56 / $9,687.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.54 / $1,009.26 / $2,094.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.54 / $1,009.26 / $2,094.27