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Minnesota rates for HCPCS L5701

Replacement, socket, above knee (AK)/knee disarticulation, including attachment plate, molded to patient model

Facilitymedian $5,012 · 10th–90th $3,890–$33,8840%20%10th90th$5,012Professionalmedian $4,571 · 10th–90th $2,239–$5,3700%20%40%10th90th$4,571$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,630.27 / $3,890.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,570.88 / $6,025.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $4,570.88 / $4,570.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $17,378.01 / $40,738.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $6,025.60 / $6,760.83
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $16,982.44 / $33,884.42
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $7,244.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $4,570.88 / $21,379.62
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,041.74 / $5,248.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $2,691.53 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,454.71 / $6,309.57