go back

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
$1,778.28 / $1,778.28 / $1,778.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,230.27 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,137.96 / $3,090.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,137.96 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $7,943.28 / $19,054.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,818.38 / $3,090.30
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $7,943.28 / $14,791.08
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $3,311.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,137.96 / $4,073.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,023.29 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $1,348.96 / $2,754.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,122.02 / $2,454.71