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Minnesota rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Facilitymedian $363 · 10th–90th $257–$2,2910%20%10th90th$363Professionalmedian $309 · 10th–90th $158–$3630%50%10th90th$309$0.5$2.0$10.0$50.0$200.0$1.0K

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
$257.04 / $257.04 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $229.09 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $309.03 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $309.03 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,174.90 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $407.38 / $457.09
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,148.15 / $2,290.87
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $489.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $309.03 / $1,584.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $151.36 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $199.53 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $204.17 / $426.58