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Minnesota rates for HCPCS L5321

Above knee (AK), molded socket, open end, SACH foot, endoskeletal system, single axis knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,344.23 / $3,630.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $6,309.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $4,265.80 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $16,218.10 / $38,904.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,754.40 / $6,309.57
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $15,488.17 / $30,199.52
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $6,760.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $7,762.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,949.84 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $2,630.27 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,137.96 / $5,011.87