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Minnesota rates for HCPCS L5688

Addition to lower extremity, below knee (BK), waist belt, webbing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $43.65 / $61.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $74.13 / $109.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $74.13 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $275.42 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $97.72 / $109.65
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $275.42 / $524.81
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $114.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $74.13 / $131.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $36.31 / $89.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.58 / $48.98 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $38.02 / $87.10