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Minnesota rates for HCPCS L5672

Addition to lower extremity, below knee (BK), removable medial brim suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.98 / $360.98 / $360.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.33 / $347.18 / $360.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.19 / $430.98 / $600.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $409.43 / $430.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.81 / $1,329.40 / $3,692.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.50 / $529.47 / $634.37
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.25 / $1,275.49 / $2,907.31
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.50 / $499.50 / $514.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.73 / $430.98 / $1,867.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.03 / $199.76 / $432.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.03 / $268.95 / $728.10