go back

Minnesota rates for HCPCS L5785

Addition, exoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.32 / $522.32 / $522.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.58 / $522.32 / $522.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.19 / $623.59 / $868.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.87 / $592.41 / $623.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.66 / $1,924.26 / $5,344.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.00 / $766.38 / $918.21
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,142.41 / $1,846.24 / $4,208.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.00 / $723.00 / $744.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.87 / $623.59 / $3,225.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.40 / $311.10 / $670.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.40 / $311.10 / $665.76