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Minnesota rates for HCPCS L5620

Addition To Lower Extremity Test Socket Below Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.75 / $299.75 / $299.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.22 / $293.86 / $299.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.57 / $357.88 / $498.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.30 / $339.99 / $357.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.59 / $1,103.85 / $3,065.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.75 / $439.64 / $526.73
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.35 / $1,059.09 / $2,414.09
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.75 / $414.75 / $426.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.69 / $357.88 / $1,729.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.98 / $187.79 / $359.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $219.98 / $221.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.98 / $185.89 / $359.36