go back

Minnesota rates for HCPCS L5850

Addition Endoskeletal System Above Knee Or Hip Disarticulation Knee Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.60 / $128.60 / $128.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.50 / $128.60 / $148.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.53 / $153.54 / $213.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.83 / $145.86 / $153.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.32 / $473.82 / $1,316.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.13 / $188.81 / $226.22
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.30 / $454.61 / $1,036.23
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.13 / $178.13 / $183.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.93 / $152.85 / $799.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.07 / $85.54 / $165.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.46 / $102.13 / $269.69