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Minnesota rates for HCPCS L5210

Above Knee Short Prosthesis No Knee Joint (Stubbies) With Foot Blocks No Ankle Joints Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,918.41 / $2,918.41 / $2,918.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.29 / $2,564.75 / $2,918.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,984.73 / $3,484.26 / $4,851.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,787.41 / $3,310.05 / $3,484.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.89 / $10,751.04 / $29,860.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,039.50 / $4,281.87 / $5,130.17
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,382.77 / $10,315.10 / $23,511.90
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,039.50 / $4,039.50 / $4,156.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.17 / $3,484.26 / $15,534.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.67 / $1,622.53 / $3,498.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.27 / $1,776.27 / $1,776.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.67 / $1,625.60 / $4,529.54