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Minnesota rates for HCPCS L5644

Addition To Lower Extremity Above Knee Wood Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.78 / $593.78 / $593.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.50 / $593.78 / $687.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.28 / $708.91 / $987.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.13 / $673.46 / $708.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.59 / $2,187.04 / $6,074.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.00 / $871.32 / $1,043.94
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,298.42 / $2,098.36 / $4,782.93
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.00 / $822.00 / $845.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.17 / $708.91 / $3,692.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.78 / $376.56 / $764.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.78 / $471.56 / $1,197.63