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Minnesota rates for HCPCS L5050

Ankle, Symes, molded socket, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,770.64 / $2,770.64 / $2,770.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.26 / $2,425.64 / $2,770.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,833.61 / $3,307.84 / $4,606.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,646.27 / $3,142.45 / $3,307.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.13 / $10,205.84 / $28,345.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,834.75 / $4,064.84 / $4,870.13
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,059.08 / $9,792.00 / $22,319.56
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,834.75 / $3,834.75 / $3,946.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.77 / $3,307.84 / $14,469.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.13 / $1,536.80 / $3,321.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.95 / $1,815.91 / $1,832.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.13 / $1,534.51 / $3,321.67