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Minnesota rates for HCPCS L5925

Addition Endoskeletal System Above Knee Knee Disarticulation Or Hip Disarticulation Manual Lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.80 / $337.80 / $337.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.01 / $337.80 / $391.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.47 / $403.29 / $561.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.63 / $383.13 / $403.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.88 / $1,244.56 / $3,456.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.63 / $495.68 / $593.88
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.88 / $1,194.09 / $2,721.79
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.63 / $467.63 / $481.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.79 / $400.23 / $2,277.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.13 / $224.67 / $434.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.13 / $211.63 / $433.85