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Minnesota rates for HCPCS L5646

Addition To Lower Extremity Below Knee Air Flu Id Gel Or Equal Cushion Socket. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.25 / $624.25 / $624.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.95 / $619.72 / $624.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.44 / $745.29 / $1,037.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.23 / $708.03 / $745.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $2,299.80 / $6,387.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.00 / $915.84 / $1,097.28
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,365.37 / $2,206.55 / $5,029.54
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.00 / $864.00 / $889.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.15 / $745.29 / $3,432.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.72 / $367.05 / $748.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.72 / $366.36 / $748.40