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Minnesota rates for HCPCS L5668

Addition To Lower Extremity Below Knee Molded Distal Cushion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.47 / $115.47 / $115.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.22 / $106.73 / $115.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.10 / $137.86 / $191.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.29 / $130.97 / $137.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.19 / $425.20 / $1,180.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.75 / $169.34 / $202.88
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.44 / $407.96 / $929.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.75 / $159.75 / $164.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.21 / $137.86 / $645.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.31 / $67.65 / $138.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.31 / $67.65 / $138.44