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Minnesota rates for HCPCS L5855

Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $223.87 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $371.54 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $371.54 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,380.38 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $489.78 / $549.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,380.38 / $2,630.27
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $588.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $371.54 / $758.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $186.21 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $245.47 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $194.98 / $436.52