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Minnesota rates for HCPCS L5986

All lower extremity prostheses, multiaxial rotation unit (MCP or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $467.74 / $776.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $933.25 / $1,380.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $933.25 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,467.37 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,230.27 / $1,380.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,467.37 / $6,606.93
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,479.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $933.25 / $1,819.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $389.05 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $501.19 / $1,023.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $436.52 / $1,096.48