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Minnesota rates for HCPCS L5790

Addition Exoskeletal System Above Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.83 / $753.83 / $753.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.25 / $753.83 / $753.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.97 / $899.99 / $1,253.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.99 / $854.99 / $899.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.20 / $2,776.73 / $7,712.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.25 / $1,105.84 / $1,324.93
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,648.51 / $2,664.14 / $6,072.55
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.25 / $1,043.25 / $1,073.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.29 / $899.99 / $4,473.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.02 / $449.00 / $928.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.36 / $500.36 / $500.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.02 / $449.00 / $921.36