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Minnesota rates for HCPCS L5981

All Lower Extremity Prostheses Flex-Walk System Or Equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.25 / $3,450.25 / $3,450.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,650.72 / $3,128.41 / $3,450.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,528.67 / $4,119.22 / $5,735.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,295.38 / $3,913.26 / $4,119.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.07 / $12,709.45 / $35,299.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.25 / $5,061.77 / $6,064.57
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,545.45 / $12,194.09 / $27,794.81
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.25 / $4,775.25 / $4,914.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.78 / $4,119.22 / $18,029.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.74 / $1,974.20 / $4,136.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.74 / $1,934.41 / $7,184.35