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Minnesota rates for HCPCS L5631

Addition to lower extremity, above knee (AK) or knee disarticulation, acrylic socket

Facilitymedian $603 · 10th–90th $437–$3,8900%20%10th90th$603Professionalmedian $525 · 10th–90th $282–$6170%50%10th90th$525$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
$436.52 / $436.52 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $338.84 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $524.81 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $524.81 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,995.26 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $691.83 / $776.25
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,949.84 / $3,890.45
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $831.76
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $524.81 / $2,754.23
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $263.03 / $575.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $346.74 / $851.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $354.81 / $724.44