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Minnesota rates for HCPCS L5010

Partial Foot Molded Socket Ankle Height With Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,619.21 / $1,619.21 / $1,619.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.41 / $1,320.59 / $1,619.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,656.01 / $1,933.16 / $2,691.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.53 / $1,836.50 / $1,933.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.06 / $5,964.18 / $16,565.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,241.00 / $2,375.46 / $2,846.07
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,540.86 / $5,722.34 / $13,043.31
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,241.00 / $2,241.00 / $2,306.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.74 / $1,933.16 / $7,602.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.00 / $814.04 / $1,941.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.00 / $815.26 / $1,941.24