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Minnesota rates for HCPCS L5859

Addition To Lower Extremity Prosthesis Endoskeletal Knee-Shin System Powered And Programmable Flexion/Extension Assist Control Includes Any Type Motor(S)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,671.20 / $14,671.20 / $14,671.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,086.10 / $14,273.90 / $14,671.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,004.64 / $17,515.82 / $24,390.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,012.66 / $16,640.03 / $17,515.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,812.54 / $54,043.86 / $150,102.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,306.25 / $21,524.63 / $25,788.94
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,085.19 / $51,852.43 / $118,190.74
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,306.25 / $20,306.25 / $20,895.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,846.73 / $17,515.82 / $81,836.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,222.91 / $8,748.37 / $17,589.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,222.91 / $8,738.45 / $17,515.82