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Minnesota rates for HCPCS L5630

Addition to lower extremity, Symes type, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.12 / $555.12 / $555.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.33 / $540.02 / $555.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.74 / $662.75 / $922.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.20 / $629.61 / $662.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.88 / $2,045.31 / $5,680.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.38 / $814.48 / $975.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.27 / $1,962.37 / $4,472.96
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.38 / $768.38 / $790.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.69 / $662.75 / $2,807.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.16 / $300.08 / $665.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.42 / $356.98 / $1,119.47