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Minnesota rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.87 / $740.87 / $740.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.39 / $740.87 / $744.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.71 / $884.52 / $1,231.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.62 / $840.29 / $884.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.20 / $2,729.14 / $7,579.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.25 / $1,086.77 / $1,302.07
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.26 / $2,593.15 / $5,968.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.25 / $1,025.25 / $1,055.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.61 / $884.52 / $4,009.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.26 / $428.19 / $888.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.26 / $382.88 / $1,149.88