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Minnesota rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,273.73 / $24,273.73 / $24,273.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,378.55 / $22,830.80 / $24,273.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,825.40 / $28,980.18 / $40,354.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,184.14 / $27,531.17 / $28,980.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,200.25 / $89,417.19 / $248,348.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33,597.00 / $35,612.82 / $42,668.19
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,085.92 / $85,791.41 / $195,550.14
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33,597.00 / $33,597.00 / $34,572.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,600.69 / $28,980.18 / $134,932.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,622.87 / $14,470.71 / $29,101.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,383.10 / $34,568.35 / $41,482.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,622.87 / $14,443.33 / $29,101.33