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Minnesota rates for HCPCS L5636

Addition To Lower Extremity Symes Type Medial Opening Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.24 / $260.24 / $260.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.41 / $260.24 / $296.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.16 / $310.70 / $432.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.56 / $295.17 / $310.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.02 / $959.03 / $2,663.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.38 / $382.00 / $457.68
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.36 / $920.14 / $2,097.34
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.38 / $360.38 / $370.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.46 / $310.70 / $1,592.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.71 / $163.04 / $329.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.63 / $136.63 / $136.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.71 / $155.00 / $326.50