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Minnesota rates for HCPCS L5974

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

Facilitymedian $324 · 10th–90th $234–$2,0420%20%10th90th$324Professionalmedian $282 · 10th–90th $141–$3240%20%40%10th90th$282$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
$234.42 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $204.17 / $239.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $281.84 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $281.84 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,047.13 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $371.54 / $407.38
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,047.13 / $2,041.74
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $436.52
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $281.84 / $1,513.56
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $138.04 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $186.21 / $457.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $177.83 / $389.05