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Minnesota rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.10 / $400.10 / $400.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.06 / $384.44 / $400.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.19 / $477.68 / $665.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.14 / $453.80 / $477.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.77 / $1,474.23 / $4,094.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.88 / $587.11 / $703.42
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.24 / $1,414.46 / $3,224.06
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.88 / $553.88 / $570.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.33 / $477.68 / $2,270.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.69 / $236.10 / $480.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.40 / $564.00 / $676.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.69 / $235.65 / $479.67