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Minnesota rates for HCPCS L5616

Addition to lower extremity, endoskeletal system, above knee (AK), universal multiplex system, friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.55 / $1,485.55 / $1,485.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.19 / $1,485.55 / $1,557.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.32 / $1,773.59 / $2,469.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,418.87 / $1,684.91 / $1,773.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.60 / $5,472.77 / $15,200.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,056.13 / $2,179.48 / $2,611.28
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,249.12 / $5,250.85 / $11,968.63
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,056.13 / $2,056.13 / $2,116.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.77 / $1,773.59 / $8,447.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.16 / $908.13 / $1,781.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.16 / $908.13 / $2,305.67