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Minnesota rates for HCPCS L5570

Preparatory Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Thermoplastic Or Equal Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,291.01 / $2,291.01 / $2,291.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.57 / $2,250.09 / $2,291.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.08 / $2,735.22 / $3,808.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,188.17 / $2,598.46 / $2,735.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,769.38 / $8,439.86 / $23,440.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,171.00 / $3,361.26 / $4,027.17
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,010.64 / $8,097.63 / $18,457.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,171.00 / $3,171.00 / $3,263.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.54 / $2,735.22 / $12,904.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.62 / $1,353.11 / $2,746.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.62 / $1,353.11 / $3,555.79