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Minnesota rates for HCPCS L5510

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,780.64 / $1,780.64 / $1,780.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.33 / $1,618.76 / $1,780.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.11 / $2,125.90 / $2,960.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,700.72 / $2,019.61 / $2,125.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.24 / $6,559.05 / $18,217.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,464.50 / $2,612.37 / $3,129.92
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,894.03 / $6,293.08 / $14,344.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,464.50 / $2,464.50 / $2,536.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.66 / $2,125.90 / $9,328.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.16 / $975.31 / $2,134.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.16 / $975.31 / $2,134.78