go back

Minnesota rates for HCPCS L5648

Addition to lower extremity, above knee (AK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.61 / $737.61 / $737.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.83 / $737.61 / $766.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.37 / $880.62 / $1,226.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.50 / $836.59 / $880.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.44 / $2,716.73 / $7,545.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.75 / $1,082.00 / $1,296.34
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,612.89 / $2,606.57 / $5,941.33
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.75 / $1,020.75 / $1,050.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.14 / $880.62 / $4,115.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.82 / $440.22 / $884.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.82 / $439.33 / $1,144.81