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Minnesota rates for HCPCS L5780

Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,341.85 / $1,341.85 / $1,341.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,341.85 / $1,341.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,372.35 / $1,602.03 / $2,230.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.61 / $1,521.93 / $1,602.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.33 / $4,943.08 / $13,728.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.38 / $1,968.82 / $2,358.87
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,934.65 / $4,742.64 / $10,810.23
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.38 / $1,857.38 / $1,911.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.86 / $1,602.03 / $7,109.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.04 / $765.54 / $1,608.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.78 / $1,142.59 / $2,855.88