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Minnesota rates for HCPCS L5930

Addition, endoskeletal system, high activity knee control frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,403.48 / $3,403.48 / $3,403.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.82 / $3,217.02 / $3,403.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,480.83 / $4,063.39 / $5,658.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,250.71 / $3,860.22 / $4,063.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.71 / $12,537.71 / $34,822.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,710.75 / $4,993.39 / $5,982.65
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,443.49 / $12,029.32 / $27,419.24
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,710.75 / $4,710.75 / $4,847.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.90 / $4,063.39 / $19,065.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.02 / $2,035.17 / $4,080.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,982.23 / $1,982.23 / $1,982.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.02 / $2,035.17 / $5,749.70