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Minnesota rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $416.87 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $741.31 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $741.31 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,754.23 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $977.24 / $1,096.48
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,754.23 / $5,248.07
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,174.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $741.31 / $1,513.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $338.84 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $436.52 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $363.08 / $870.96