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Minnesota rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.39 / $48.39 / $48.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.52 / $48.39 / $49.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.49 / $57.77 / $80.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.22 / $54.88 / $57.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $177.94 / $494.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.13 / $71.15 / $85.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.64 / $170.73 / $389.15
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.13 / $67.13 / $68.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.16 / $57.77 / $305.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $29.39 / $62.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $29.39 / $75.09