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Minnesota rates for HCPCS L5656

Addition To Lower Extremity Socket Insert Knee Disarticulation (Kemblo Pelite Aliplast Plastazote Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.84 / $434.84 / $434.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.78 / $393.76 / $434.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.73 / $519.16 / $722.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.33 / $493.20 / $519.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.84 / $1,601.48 / $4,447.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.88 / $637.99 / $764.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.78 / $1,536.54 / $3,502.35
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.88 / $601.88 / $619.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.69 / $519.16 / $2,344.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.08 / $248.03 / $521.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.08 / $248.03 / $674.91