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Minnesota rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Facilitymedian $525 · 10th–90th $398–$3,4670%20%10th90th$525Professionalmedian $479 · 10th–90th $234–$5500%50%10th90th$479$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$398.11 / $398.11 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $288.40 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $478.63 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $478.63 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,778.28 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $630.96 / $707.95
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,778.28 / $3,467.37
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $758.58
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $478.63 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $208.93 / $512.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $281.84 / $691.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $263.03 / $660.69