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Minnesota rates for HCPCS L5830

Addition, endoskeletal knee-shin system, single axis, pneumatic/swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.06 / $2,009.06 / $2,009.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.73 / $2,005.57 / $2,009.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,054.71 / $2,398.60 / $3,339.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,918.88 / $2,278.67 / $2,398.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,654.54 / $7,401.17 / $20,556.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,780.63 / $2,947.46 / $3,531.39
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,393.99 / $7,101.06 / $16,185.93
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,780.63 / $2,780.63 / $2,861.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.53 / $2,398.60 / $12,123.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.48 / $1,196.63 / $2,450.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.65 / $1,893.70 / $4,733.22