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Minnesota rates for HCPCS L5961

Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,090.30 / $4,786.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $5,754.40 / $8,511.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $5,754.40 / $5,754.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $21,877.62 / $51,286.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $7,585.78 / $8,511.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $21,379.62 / $40,738.03
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $9,120.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $5,754.40 / $10,964.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,570.40 / $6,456.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $3,388.44 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,884.03 / $6,760.83