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Minnesota rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Facilitymedian $537 · 10th–90th $407–$3,5480%20%10th90th$537Professionalmedian $479 · 10th–90th $240–$5620%50%10th90th$479$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $302.00 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $478.63 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $478.63 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,819.70 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $630.96 / $707.95
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,778.28 / $3,548.13
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $758.58
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $478.63 / $2,344.23
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $218.78 / $478.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $288.40 / $707.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $288.40 / $660.69