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Minnesota rates for HCPCS L5692

Addition to lower extremity, above knee (AK), pelvic control belt, light

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.58 / $133.58 / $133.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.23 / $133.58 / $140.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.62 / $159.47 / $222.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $151.51 / $159.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.66 / $492.45 / $1,367.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.88 / $195.97 / $234.79
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.36 / $472.48 / $1,076.95
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.88 / $184.88 / $190.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.91 / $159.47 / $840.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.04 / $82.34 / $171.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.04 / $79.56 / $161.66