go back

Minnesota rates for HCPCS L5700

Replacement, socket, below knee (BK), molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,101.56 / $3,101.56 / $3,101.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,579.00 / $3,101.56 / $3,101.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,172.05 / $3,702.93 / $5,156.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,962.34 / $3,517.78 / $3,702.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $11,425.57 / $31,733.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,293.00 / $4,550.58 / $5,452.11
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,783.22 / $10,962.27 / $24,987.05
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,293.00 / $4,293.00 / $4,417.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.39 / $3,702.93 / $17,077.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.20 / $1,834.59 / $3,718.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.20 / $1,770.23 / $3,718.40