go back

Minnesota rates for HCPCS L5695

Addition To Lower Extremity Above Knee Pelvic Control Sleeve Suspension Neoprene Or Equal Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.94 / $163.94 / $163.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.29 / $163.94 / $173.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.67 / $195.73 / $272.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.58 / $185.94 / $195.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.31 / $604.17 / $1,678.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.88 / $240.49 / $288.13
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.69 / $579.67 / $1,321.30
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.88 / $226.88 / $233.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.93 / $195.73 / $1,037.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.09 / $102.71 / $215.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.09 / $102.71 / $219.22