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Minnesota rates for HCPCS L5840

Addition Endoskeletal Knee/Shin System 4-Bar Linkage Or Multiaxial Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,943.24 / $3,943.24 / $3,943.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,933.56 / $3,854.83 / $3,943.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,032.86 / $4,707.80 / $6,555.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,766.24 / $4,472.41 / $4,707.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.97 / $14,526.12 / $40,345.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,457.75 / $5,785.22 / $6,931.34
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,623.98 / $13,937.10 / $31,767.76
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,457.75 / $5,457.75 / $5,616.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.54 / $4,707.80 / $21,225.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.02 / $2,269.69 / $4,727.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.02 / $2,270.60 / $4,727.47