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Minnesota rates for HCPCS L5816

Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock

Facilitymedian $1,202 · 10th–90th $851–$7,4130%20%10th90th$1,202Professionalmedian $1,023 · 10th–90th $513–$1,1750%50%10th90th$1,023$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $645.65 / $851.14
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,023.29 / $1,318.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,023.29 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,801.89 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,348.96 / $1,513.56
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,801.89 / $7,413.10
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,621.81
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $1,023.29 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $512.86 / $1,230.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $676.08 / $1,659.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $645.65 / $1,412.54