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Minnesota rates for HCPCS L5826

Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,157.76 / $3,157.76 / $3,157.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,740.39 / $2,984.35 / $3,157.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,229.52 / $3,770.02 / $5,249.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,016.02 / $3,581.52 / $3,770.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,677.88 / $11,632.48 / $32,308.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,370.63 / $4,632.85 / $5,550.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,906.06 / $11,160.79 / $25,439.55
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,370.63 / $4,370.63 / $4,497.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.25 / $3,770.02 / $17,719.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.15 / $1,887.97 / $3,785.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.82 / $2,681.48 / $7,043.17