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Minnesota rates for HCPCS L5631

Addition To Lower Extremity Above Knee Or Knee Disarticulation Acrylic Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.72 / $441.72 / $441.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.14 / $441.72 / $441.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.76 / $527.36 / $734.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.89 / $500.99 / $527.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.53 / $1,627.35 / $4,519.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.25 / $647.92 / $776.29
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.14 / $1,561.36 / $3,558.91
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.25 / $611.25 / $629.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.95 / $527.36 / $2,777.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.40 / $293.79 / $563.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.40 / $276.73 / $563.02