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Minnesota rates for HCPCS L5974

All lower extremity prostheses, foot, single axis ankle/foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $165.96 / $239.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $281.84 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $281.84 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,047.13 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $371.54 / $407.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,047.13 / $1,949.84
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $436.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $281.84 / $512.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $138.04 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $186.21 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $141.25 / $331.13