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Minnesota rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Facilitymedian $66 · 10th–90th $48–$4270%20%10th90th$66Professionalmedian $58 · 10th–90th $29–$680%50%10th90th$58$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $41.69 / $48.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $57.54 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $57.54 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $218.78 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $75.86 / $85.11
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $213.80 / $426.58
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $91.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $57.54 / $302.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.84 / $70.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.46 / $38.02 / $93.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $33.88 / $79.43