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Minnesota rates for HCPCS L5643

Addition To Lower Extremity Hip Disarticulation Flexible Inner Socket External Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,025.61 / $2,025.61 / $2,025.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.75 / $1,812.18 / $2,025.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,071.65 / $2,418.36 / $3,367.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,934.69 / $2,297.44 / $2,418.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.30 / $7,462.21 / $20,725.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,803.50 / $2,971.71 / $3,560.45
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,430.22 / $7,159.62 / $16,319.41
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,803.50 / $2,803.50 / $2,885.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.72 / $2,418.36 / $9,793.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.32 / $1,042.68 / $2,428.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.32 / $1,040.71 / $2,490.91