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Minnesota rates for HCPCS L5940

Addition, endoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $363.08 / $588.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $602.56 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $602.56 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,238.72 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $794.33 / $891.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,238.72 / $4,265.80
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $954.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $602.56 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $309.03 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $398.11 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $323.59 / $707.95