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Minnesota rates for HCPCS L5665

Addition To Lower Extremity Socket Insert Multi-Durometer Below Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.47 / $585.47 / $585.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.18 / $585.47 / $585.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.78 / $698.99 / $973.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.19 / $664.04 / $698.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.18 / $2,157.04 / $5,990.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.38 / $859.00 / $1,029.18
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.60 / $2,069.57 / $4,717.31
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.38 / $810.38 / $834.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.87 / $698.99 / $3,241.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.40 / $334.16 / $701.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.49 / $819.40 / $983.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.40 / $334.16 / $908.69