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Minnesota rates for HCPCS L5535

Preparatory, below knee (BK) PTB type socket, nonalignable system, no cover, SACH foot, prefabricated, adjustable open end socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,230.27 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,344.23 / $3,467.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,344.23 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $8,709.64 / $20,892.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $3,090.30 / $3,467.37
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $8,709.64 / $16,595.87
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,344.23 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,023.29 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $1,348.96 / $2,754.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,148.15 / $2,691.53