go back

Minnesota rates for HCPCS L5105

Below knee (BK), plastic socket, joints and thigh lacer, SACH foot

Facilitymedian $5,129 · 10th–90th $3,890–$33,8840%20%10th90th$5,129Professionalmedian $4,677 · 10th–90th $2,291–$5,3700%20%40%10th90th$4,677$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,884.03 / $3,890.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $4,677.35 / $6,025.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $4,677.35 / $4,677.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $17,378.01 / $41,686.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $6,165.95 / $6,918.31
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $17,378.01 / $33,884.42
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $7,244.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $4,677.35 / $22,387.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,089.30 / $5,623.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $2,754.23 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,691.53 / $6,456.54