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Minnesota rates for HCPCS L5645

Addition To Lower Extremity Below Knee Flexible Inner Socket External Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.05 / $985.05 / $985.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.72 / $928.99 / $985.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.44 / $1,176.04 / $1,637.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.83 / $1,117.24 / $1,176.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.09 / $3,628.17 / $10,076.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.50 / $1,445.31 / $1,731.65
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,154.00 / $3,481.05 / $7,934.59
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.50 / $1,363.50 / $1,402.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.69 / $1,176.04 / $4,987.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.51 / $586.72 / $1,180.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.09 / $849.36 / $2,050.42