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Minnesota rates for HCPCS L5814

Addition Endoskeletal Knee-Shin System Polycentric Hydraulic Swing Phase Control Mechanical Stance Phase Lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,755.33 / $3,755.33 / $3,755.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,069.76 / $3,526.97 / $3,755.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,840.68 / $4,483.45 / $6,243.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,586.76 / $4,348.95 / $4,483.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $13,834.00 / $38,422.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,197.50 / $5,509.35 / $6,600.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,213.08 / $13,273.05 / $30,254.15
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,197.50 / $5,197.50 / $5,348.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,328.66 / $4,483.45 / $20,912.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.09 / $2,234.58 / $4,502.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.09 / $2,231.25 / $5,828.49