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Minnesota rates for HCPCS L5301

Below knee (BK), molded socket, shin, SACH foot, endoskeletal system

Facilitymedian $3,715 · 10th–90th $2,692–$23,4420%20%10th90th$3,715Professionalmedian $3,236 · 10th–90th $1,549–$3,7150%50%10th90th$3,236$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$2,691.53 / $2,691.53 / $2,691.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,737.80 / $2,691.53
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,235.94 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,235.94 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $12,022.64 / $28,840.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $4,265.80 / $4,786.30
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $12,022.64 / $23,442.29
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $5,128.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $3,235.94 / $14,791.08
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,380.38 / $3,388.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $1,819.70 / $4,466.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,737.80 / $4,466.84