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Minnesota rates for HCPCS L5975

All Lower Extremity Prosthesis Combination Single Axis Ankle And Flexible Keel Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.78 / $468.78 / $468.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.38 / $440.27 / $468.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.43 / $559.66 / $779.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.74 / $531.69 / $559.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.03 / $1,726.66 / $4,795.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.75 / $687.68 / $823.91
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.09 / $1,656.65 / $3,776.11
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.75 / $648.75 / $667.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.85 / $559.66 / $2,615.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.28 / $278.94 / $562.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.28 / $278.52 / $562.00