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Minnesota rates for HCPCS L5652

Addition to lower extremity, suction suspension, above knee (AK) or knee disarticulation socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $316.23 / $436.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $524.81 / $776.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $524.81 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,949.84 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $691.83 / $776.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,949.84 / $3,715.35
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $831.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $524.81 / $1,071.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $263.03 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $346.74 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $275.42 / $616.60