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Minnesota rates for HCPCS L2500

Addition to lower extremity, thigh/weight bearing, gluteal/ischial weight bearing, ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $213.80 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $380.19 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $380.19 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,412.54 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $501.19 / $549.54
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,412.54 / $2,630.27
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $588.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $380.19 / $758.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $177.83 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $173.78 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $186.21 / $467.74