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Minnesota rates for HCPCS L5632

Addition To Lower Extremity Symes Type Ptb Brim Design Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.25 / $272.25 / $272.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.13 / $238.35 / $272.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.44 / $325.04 / $452.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.02 / $308.79 / $325.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.52 / $1,002.48 / $2,784.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.88 / $399.49 / $478.63
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.16 / $961.83 / $2,192.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.88 / $376.88 / $387.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.40 / $325.04 / $1,389.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.64 / $148.75 / $326.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.64 / $148.47 / $326.41