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Minnesota rates for HCPCS L5910

Addition Endoskeletal System Below Knee Alignable System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.10 / $364.10 / $364.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.60 / $364.10 / $421.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.38 / $434.70 / $605.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.76 / $412.97 / $434.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.20 / $1,340.78 / $3,723.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.00 / $534.24 / $640.08
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.00 / $1,286.41 / $2,932.20
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.00 / $504.00 / $518.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.19 / $434.70 / $2,291.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.58 / $242.62 / $467.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.58 / $242.16 / $573.79