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Minnesota rates for HCPCS L5960

Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $707.95 / $1,174.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,380.38 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $5,248.07 / $12,589.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,862.09 / $2,041.74
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $5,248.07 / $9,772.37
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $2,187.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,380.38 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $575.44 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $758.58 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $660.69 / $1,621.81