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Minnesota rates for HCPCS L5020

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,536.78 / $2,536.78 / $2,536.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.24 / $2,094.58 / $2,536.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,594.42 / $3,028.63 / $4,217.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,422.90 / $2,877.20 / $3,028.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.28 / $9,345.09 / $25,955.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,511.13 / $3,721.79 / $4,459.13
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,548.07 / $8,966.16 / $20,437.16
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,511.13 / $3,511.13 / $3,613.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.06 / $3,028.63 / $12,494.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.10 / $1,327.60 / $3,041.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.89 / $1,428.89 / $1,428.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.10 / $1,325.09 / $3,041.29