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Minnesota rates for HCPCS L5812

Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.25 / $597.25 / $597.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.52 / $597.25 / $607.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.82 / $713.05 / $992.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.44 / $677.40 / $713.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.30 / $2,200.48 / $6,111.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.50 / $876.09 / $1,049.66
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.40 / $2,111.26 / $4,812.34
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.50 / $826.50 / $850.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.08 / $713.05 / $3,612.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.66 / $374.17 / $729.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.66 / $374.17 / $724.37