go back

Minnesota rates for HCPCS L5984

All endoskeletal lower extremity prostheses, axial rotation unit, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.16 / $650.16 / $650.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.94 / $625.34 / $650.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.94 / $776.22 / $1,080.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.98 / $737.41 / $776.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.25 / $2,394.98 / $6,651.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.00 / $954.00 / $1,143.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.87 / $2,297.87 / $5,237.68
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.00 / $900.00 / $926.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.83 / $776.22 / $3,613.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.41 / $380.91 / $780.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.41 / $381.48 / $779.47