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Minnesota rates for HCPCS L5639

Addition To Lower Extremity Below Knee Wood Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,127.14 / $1,127.14 / $1,127.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.88 / $1,127.14 / $1,305.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.76 / $1,345.68 / $1,873.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.54 / $1,278.40 / $1,345.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.50 / $4,151.64 / $11,530.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,560.00 / $1,653.60 / $1,981.20
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,464.78 / $3,983.30 / $9,079.41
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,560.00 / $1,560.00 / $1,605.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.41 / $1,345.68 / $7,424.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.56 / $714.81 / $1,451.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.56 / $714.81 / $1,749.38