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Minnesota rates for HCPCS L5828

Addition Endoskeletal Knee-Shin System Single Axis Fluid Swing And Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,979.62 / $2,979.62 / $2,979.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,556.27 / $2,979.62 / $2,979.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,047.34 / $3,557.34 / $4,953.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,845.87 / $3,379.47 / $3,557.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,117.90 / $10,975.54 / $30,483.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,123.88 / $4,371.31 / $5,237.32
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,516.05 / $10,530.49 / $24,002.86
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,123.88 / $4,123.88 / $4,243.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.39 / $3,557.34 / $17,754.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.29 / $1,891.03 / $3,646.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.29 / $1,866.71 / $3,664.06