go back

Minnesota rates for HCPCS L5450

Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.21 / $478.21 / $478.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.61 / $461.09 / $478.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.08 / $570.92 / $795.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.74 / $542.38 / $570.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.54 / $1,761.84 / $4,893.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.88 / $701.59 / $840.58
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.98 / $1,690.40 / $3,853.04
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.88 / $661.88 / $681.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.21 / $570.92 / $2,506.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.63 / $272.92 / $573.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.40 / $244.40 / $244.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.63 / $272.41 / $648.58