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Minnesota rates for HCPCS L5682

Addition to lower extremity, below knee (BK), thigh lacer, gluteal/ischial, molded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $446.68 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $758.58 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $758.58 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,818.38 / $6,760.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,000.00 / $1,096.48
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,818.38 / $5,248.07
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,174.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $758.58 / $1,348.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $371.54 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $489.78 / $1,023.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $371.54 / $891.25