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Minnesota rates for HCPCS L5580

Preparatory Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Thermoplastic Or Equal Molded To Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,843.48 / $2,843.48 / $2,843.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.02 / $2,520.73 / $2,843.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,908.11 / $3,394.81 / $4,727.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,715.85 / $3,225.07 / $3,394.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,769.18 / $10,474.82 / $29,092.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,935.63 / $4,171.76 / $4,998.24
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,218.78 / $10,050.08 / $22,907.81
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,935.63 / $3,935.63 / $4,050.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.25 / $3,394.81 / $14,790.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.68 / $1,579.66 / $3,408.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.68 / $1,580.30 / $3,802.19