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Minnesota rates for HCPCS L5590

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,964.61 / $2,964.61 / $2,964.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.81 / $2,680.93 / $2,964.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,031.98 / $3,539.42 / $4,928.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,831.54 / $3,362.45 / $3,539.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,289.62 / $10,920.71 / $30,331.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,103.25 / $4,349.45 / $5,211.13
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,483.50 / $10,477.89 / $23,882.95
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,103.25 / $4,103.25 / $4,222.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.16 / $3,539.42 / $15,617.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.63 / $1,610.43 / $3,554.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.07 / $1,906.45 / $5,996.41