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Minnesota rates for HCPCS L5966

Addition Endoskeletal System Hip Disarticulation Flexible Protective Outer Surface Covering System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.14 / $1,460.14 / $1,460.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.66 / $1,396.97 / $1,460.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,493.33 / $1,743.25 / $2,427.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.60 / $1,656.09 / $1,743.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.00 / $5,378.63 / $14,938.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.88 / $2,142.13 / $2,566.51
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,193.23 / $5,160.53 / $11,762.74
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.88 / $2,020.88 / $2,079.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.15 / $1,743.25 / $7,595.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.38 / $799.45 / $1,750.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.38 / $797.94 / $1,750.54