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Minnesota rates for HCPCS L5985

All endoskeletal lower extremity prostheses, dynamic prosthetic pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.54 / $285.54 / $285.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.37 / $269.88 / $285.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.02 / $340.91 / $474.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.73 / $323.86 / $340.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.51 / $1,052.14 / $2,922.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.25 / $418.97 / $501.97
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.64 / $1,009.47 / $2,300.96
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.25 / $395.25 / $406.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.67 / $340.91 / $1,599.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.93 / $170.74 / $342.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.93 / $162.97 / $342.32