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Minnesota rates for HCPCS L5661

Addition to lower extremity, socket insert, multidurometer Symes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $436.52 / $660.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $794.33 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $794.33 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,951.21 / $7,079.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,047.13 / $1,148.15
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,951.21 / $5,495.41
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,230.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $794.33 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $363.08 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $478.63 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $389.05 / $912.01