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Minnesota rates for HCPCS L5649

Addition To Lower Extremity Ischial Containment/Narrow M-L Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,478.41 / $2,478.41 / $2,478.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.67 / $2,012.34 / $2,478.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,534.73 / $2,958.96 / $4,120.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,367.17 / $2,811.01 / $2,958.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $9,129.90 / $25,357.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,430.50 / $3,636.33 / $4,356.74
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,420.32 / $8,759.70 / $19,966.56
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,430.50 / $3,430.50 / $3,530.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.08 / $2,958.96 / $11,959.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.04 / $1,305.04 / $2,971.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.04 / $1,269.42 / $2,971.33