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Minnesota rates for HCPCS L5666

Addition to lower extremity, below knee (BK), cuff suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.52 / $77.52 / $77.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.58 / $73.98 / $77.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.28 / $92.55 / $128.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.04 / $87.92 / $92.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.87 / $285.54 / $793.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.25 / $113.69 / $136.21
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.52 / $273.95 / $624.45
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.25 / $107.25 / $110.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.87 / $92.55 / $445.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.94 / $46.18 / $92.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.94 / $46.18 / $92.94