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Minnesota rates for HCPCS L5961

Addition Endoskeletal System Polycentric Hip Joint Pneumatic Or Hydraulic Control With Or Without Flexion And/Or Extension Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,826.54 / $4,826.54 / $4,826.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,533.37 / $4,572.45 / $4,826.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,936.22 / $5,762.36 / $8,023.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,609.89 / $5,474.24 / $5,762.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.42 / $17,779.78 / $49,381.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,680.25 / $7,081.07 / $8,483.92
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,555.64 / $17,058.82 / $38,883.33
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,680.25 / $6,680.25 / $6,874.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,874.88 / $5,762.36 / $26,807.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,708.34 / $2,865.73 / $5,786.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,708.34 / $2,754.78 / $5,525.56