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Minnesota rates for HCPCS L5629

Addition to lower extremity, below knee, acrylic socket

Facilitymedian $437 · 10th–90th $316–$2,8180%20%10th90th$437Professionalmedian $380 · 10th–90th $219–$4470%50%10th90th$380$0.5$2.0$10.0$50.0$200.0$1.0K

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
$316.23 / $316.23 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $245.47 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $380.19 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $380.19 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,445.44 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $501.19 / $562.34
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,412.54 / $2,818.38
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $602.56
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $380.19 / $1,995.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $190.55 / $416.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $251.19 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $251.19 / $524.81