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Minnesota rates for HCPCS L5651

Addition to lower extremity, above knee (AK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,437.93 / $1,437.93 / $1,437.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.83 / $1,398.24 / $1,437.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,470.61 / $1,716.73 / $2,390.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.38 / $1,630.89 / $1,716.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.11 / $5,296.90 / $14,711.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,990.13 / $2,109.53 / $2,527.46
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,144.70 / $5,082.10 / $11,584.00
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,990.13 / $1,990.13 / $2,048.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.16 / $1,716.73 / $7,578.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.40 / $856.46 / $1,723.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.40 / $804.19 / $2,003.41