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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
$1,169.51 / $1,169.51 / $1,169.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.28 / $1,018.92 / $1,169.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.08 / $1,396.26 / $1,944.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.01 / $1,326.45 / $1,396.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.44 / $4,307.87 / $11,964.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.88 / $1,716.01 / $2,055.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,557.53 / $4,133.18 / $9,421.04
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.88 / $1,618.88 / $1,665.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.85 / $1,396.26 / $6,077.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.84 / $644.60 / $1,402.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.84 / $644.60 / $1,402.10