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Minnesota rates for HCPCS L5976

All Lower Extremity Prostheses Energy Storing Foot (Seattle Carbon Copy Ii Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.23 / $594.23 / $594.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.63 / $591.91 / $594.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.73 / $709.45 / $987.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.55 / $673.98 / $709.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.01 / $2,189.11 / $6,080.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.38 / $871.72 / $1,044.42
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,299.65 / $2,100.34 / $4,787.45
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.38 / $822.38 / $846.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.98 / $709.45 / $3,565.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.56 / $362.06 / $723.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.56 / $362.06 / $717.61