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Minnesota rates for HCPCS L5160

Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,752.33 / $4,752.33 / $4,752.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.96 / $4,080.53 / $4,752.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,860.34 / $5,673.77 / $7,900.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,539.02 / $5,390.08 / $5,673.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,670.30 / $17,506.66 / $48,623.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,577.50 / $6,972.15 / $8,353.43
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,393.49 / $16,796.78 / $38,286.03
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,577.50 / $6,577.50 / $6,768.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.83 / $5,673.77 / $24,492.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.75 / $2,558.79 / $5,697.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,790.80 / $3,049.50 / $9,527.65