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Minnesota rates for HCPCS L5670

Addition to lower extremity, below knee (BK), molded supracondylar suspension (PTS or similar)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.79 / $272.79 / $272.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.54 / $272.79 / $315.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.99 / $325.69 / $453.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.55 / $309.41 / $325.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.51 / $1,004.55 / $2,790.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.63 / $400.28 / $479.58
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.39 / $963.81 / $2,196.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.63 / $377.63 / $388.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.05 / $325.39 / $1,717.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.32 / $175.42 / $351.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.32 / $175.42 / $364.77