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Minnesota rates for HCPCS L5728

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,437.19 / $2,437.19 / $2,437.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.34 / $2,437.19 / $2,501.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,492.58 / $2,909.74 / $4,051.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,327.79 / $2,764.25 / $2,909.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.41 / $8,977.82 / $24,935.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,373.13 / $3,575.51 / $4,283.87
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,330.03 / $8,613.78 / $19,633.98
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,373.13 / $3,373.13 / $3,471.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.42 / $2,909.74 / $15,093.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.88 / $1,526.88 / $3,072.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.88 / $1,451.63 / $3,049.07