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Minnesota rates for HCPCS L5652

Addition To Lower Extremity Suction Suspension Above Knee Or Knee Disarticulation Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.30 / $438.30 / $438.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.27 / $438.30 / $507.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.26 / $523.28 / $728.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.62 / $497.12 / $523.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.50 / $1,614.93 / $4,485.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.75 / $643.16 / $770.57
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$958.77 / $1,549.45 / $3,531.76
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.75 / $606.75 / $624.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.59 / $523.28 / $2,725.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.04 / $291.52 / $564.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.04 / $261.06 / $558.66