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Minnesota rates for HCPCS L5971

All lower extremity prostheses, solid ankle cushion heel (SACH) foot, replacement only

Facilitymedian $309 · 10th–90th $224–$1,9050%20%40%10th90th$309Professionalmedian $263 · 10th–90th $132–$3020%50%10th90th$263$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
$218.78 / $218.78 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $177.83 / $218.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $263.03 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $263.03 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $977.24 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $346.74 / $389.05
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $977.24 / $1,905.46
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $416.87
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $263.03 / $1,288.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $120.23 / $275.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $162.18 / $398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $141.25 / $363.08