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Minnesota rates for HCPCS L5822

Addition Endoskeletal Knee-Shin System Single Axis Pneumatic Swing Friction Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,771.06 / $1,771.06 / $1,771.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.47 / $1,771.06 / $1,771.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,811.31 / $2,114.46 / $2,944.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,691.57 / $2,008.74 / $2,114.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.82 / $6,523.87 / $18,119.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,451.38 / $2,598.46 / $3,113.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,873.15 / $6,259.34 / $14,267.33
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,451.38 / $2,451.38 / $2,522.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.04 / $2,114.46 / $10,228.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.78 / $1,109.56 / $2,198.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1,347.44 / $1,359.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.78 / $1,019.68 / $2,180.15