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Minnesota rates for HCPCS L5686

Addition to lower extremity, below knee (BK), back check (extension control)

Facilitymedian $76 · 10th–90th $58–$5130%20%10th90th$76Professionalmedian $69 · 10th–90th $34–$810%20%40%10th90th$69$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
$57.54 / $57.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $44.67 / $57.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $69.18 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $69.18 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $263.03 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $91.20 / $102.33
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $257.04 / $512.86
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $109.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $69.18 / $331.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $30.90 / $83.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.49 / $40.74 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $40.74 / $95.50