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Minnesota rates for HCPCS L5920

Addition Endoskeletal System Above Knee Or Hip Disarticulation Alignable System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.41 / $533.41 / $533.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.41 / $533.41 / $613.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.54 / $636.84 / $886.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.47 / $605.00 / $636.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.94 / $1,964.61 / $5,456.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.38 / $782.68 / $937.74
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.36 / $1,866.72 / $4,296.49
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.38 / $738.38 / $759.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.26 / $636.84 / $3,385.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.81 / $354.78 / $685.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.46 / $503.89 / $1,075.88