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Minnesota rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Facilitymedian $513 · 10th–90th $389–$3,3880%20%10th90th$513Professionalmedian $457 · 10th–90th $219–$5370%20%40%10th90th$457$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$389.05 / $389.05 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $234.42 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $457.09 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $457.09 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,737.80 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $616.60 / $676.08
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,737.80 / $3,388.44
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $724.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $457.09 / $1,949.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $194.98 / $549.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $229.09 / $562.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $229.09 / $630.96