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Minnesota rates for HCPCS L5301

Below Knee, Molded Socket, Shin, Sach Foot, Endoskeletal System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,709.06 / $2,709.06 / $2,709.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.25 / $2,437.12 / $2,709.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,770.63 / $3,234.32 / $4,503.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,587.46 / $3,072.60 / $3,234.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,721.98 / $9,979.27 / $27,716.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,749.63 / $3,974.60 / $4,762.02
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,924.57 / $9,574.62 / $21,824.08
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,749.63 / $3,749.63 / $3,858.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.20 / $3,234.32 / $14,785.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.56 / $1,573.80 / $3,247.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,123.22 / $3,674.38 / $4,409.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.56 / $1,386.16 / $4,885.43