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Minnesota rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $371.54 / $588.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $1,023.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $691.83 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,630.27 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $933.25 / $1,023.29
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,511.89 / $4,897.79
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $1,096.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $691.83 / $1,258.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $309.03 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $407.38 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $338.84 / $812.83