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Minnesota rates for HCPCS L5400

Immediate Post Surgical Or Early Fitting Application Of Initial Rigid Dressing Including Fitting Alignment Suspension And One Cast Change Below Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,613.25 / $1,613.25 / $1,613.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.09 / $1,272.06 / $1,613.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.92 / $1,926.05 / $2,681.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,540.84 / $1,829.75 / $1,926.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.63 / $5,942.46 / $16,504.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,232.75 / $2,366.71 / $2,835.59
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,527.96 / $5,646.35 / $12,995.80
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,232.75 / $2,232.75 / $2,297.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.21 / $1,917.79 / $7,563.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.44 / $804.74 / $1,934.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.97 / $1,281.18 / $3,092.83