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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
$234.27 / $234.27 / $234.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.43 / $234.27 / $237.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.60 / $279.69 / $389.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.75 / $265.70 / $279.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.77 / $862.81 / $2,396.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.38 / $343.84 / $411.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.24 / $827.83 / $1,886.93
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.38 / $324.38 / $333.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.78 / $279.69 / $1,528.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.02 / $141.49 / $300.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.02 / $139.54 / $298.60