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Minnesota rates for HCPCS L5979

All lower extremity prostheses, multiaxial ankle, dynamic response foot, one-piece system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,521.09 / $2,521.09 / $2,521.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.48 / $2,521.09 / $2,521.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.39 / $3,009.91 / $4,191.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.92 / $2,859.41 / $3,009.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,711.28 / $9,287.16 / $25,794.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,489.38 / $3,698.74 / $4,431.51
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,513.67 / $8,910.57 / $20,310.46
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,489.38 / $3,489.38 / $3,590.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.51 / $3,009.91 / $14,301.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.86 / $1,525.69 / $3,022.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.79 / $2,502.67 / $5,863.66