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Minnesota rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.92 / $39.92 / $39.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $39.92 / $45.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.82 / $47.66 / $66.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.13 / $45.28 / $47.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.78 / $146.91 / $408.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.13 / $58.43 / $70.01
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.22 / $140.94 / $321.27
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.13 / $55.13 / $56.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.81 / $47.53 / $253.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $25.00 / $51.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $25.67 / $51.27