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Minnesota rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.19 / $58.19 / $58.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.15 / $53.99 / $58.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.52 / $69.48 / $96.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.58 / $66.01 / $69.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $214.15 / $594.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.63 / $85.46 / $102.39
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.14 / $205.47 / $468.34
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.63 / $80.63 / $82.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.34 / $69.48 / $328.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.39 / $34.21 / $69.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.24 / $37.24 / $37.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.39 / $34.15 / $69.77