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Minnesota rates for HCPCS L5540

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,071.67 / $2,071.67 / $2,071.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.47 / $2,071.67 / $2,071.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,118.75 / $2,473.35 / $3,444.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,978.68 / $2,349.67 / $2,473.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.98 / $7,631.88 / $21,196.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,867.25 / $3,039.29 / $3,641.41
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,530.95 / $7,322.41 / $16,690.46
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,867.25 / $2,867.25 / $2,950.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.66 / $2,473.35 / $11,580.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.52 / $1,212.03 / $2,483.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.52 / $1,182.43 / $2,483.69