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Minnesota rates for HCPCS L5634

Addition to lower extremity, Symes type, posterior opening (Canadian) socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.47 / $340.47 / $340.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.64 / $340.47 / $354.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.21 / $406.49 / $566.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.19 / $386.17 / $406.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.64 / $1,253.86 / $3,482.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.38 / $499.66 / $598.65
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.41 / $1,203.03 / $2,742.15
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.38 / $471.38 / $484.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.12 / $406.49 / $1,955.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.43 / $203.39 / $408.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.43 / $193.94 / $408.18