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Minnesota rates for HCPCS L5105

Below Knee, Plastic Socket, Joints And Thigh Lacer, Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,893.24 / $3,893.24 / $3,893.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,914.49 / $3,671.75 / $3,893.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.73 / $4,648.10 / $6,472.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,718.49 / $4,415.70 / $4,648.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,006.81 / $14,341.97 / $39,833.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,388.75 / $5,712.08 / $6,843.71
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,514.65 / $13,760.41 / $31,365.04
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,388.75 / $5,388.75 / $5,545.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.20 / $4,648.10 / $22,146.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.78 / $2,318.89 / $4,667.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.78 / $2,281.94 / $5,424.31