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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
$741.31 / $741.31 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $741.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $891.25 / $1,288.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $891.25 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,311.31 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,174.90 / $1,288.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,311.31 / $6,165.95
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,380.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $891.25 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $380.19 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $501.19 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $426.58 / $1,023.29