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Minnesota rates for HCPCS L5685

Addition To Lower Extremity Prosthesis Below Kneesuspension/Sealing Sleeve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.54 / $129.54 / $129.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.38 / $121.64 / $129.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.47 / $154.65 / $215.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.72 / $146.91 / $154.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.03 / $476.93 / $1,324.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.25 / $190.01 / $227.65
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.14 / $457.59 / $1,043.01
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.25 / $179.25 / $184.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.82 / $154.65 / $720.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.94 / $77.15 / $155.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.94 / $76.95 / $155.30