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Minnesota rates for HCPCS L5688

Addition To Lower Extremity Below Knee Waist Belt Webbing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $61.81 / $61.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.65 / $61.81 / $64.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.22 / $73.80 / $102.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.04 / $70.11 / $73.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.81 / $227.60 / $632.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.50 / $90.63 / $108.59
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.12 / $218.37 / $497.75
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.50 / $85.50 / $88.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.32 / $73.80 / $392.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.38 / $36.82 / $78.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.38 / $36.58 / $78.20