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Minnesota rates for HCPCS L5500

Initial Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,491.12 / $1,491.12 / $1,491.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.79 / $1,491.12 / $1,491.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,525.01 / $1,780.23 / $2,478.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.18 / $1,691.22 / $1,780.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.22 / $5,492.43 / $15,254.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,064.00 / $2,187.84 / $2,621.28
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,260.79 / $5,269.71 / $12,011.61
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,064.00 / $2,064.00 / $2,123.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.37 / $1,780.23 / $8,261.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.69 / $860.04 / $1,787.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.15 / $1,413.11 / $3,203.65