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Minnesota rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,019.99 / $2,019.99 / $2,019.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.32 / $1,897.17 / $2,019.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,065.90 / $2,411.64 / $3,358.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.31 / $2,291.06 / $2,411.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $7,441.52 / $20,668.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,796.00 / $2,963.76 / $3,550.92
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,417.93 / $7,139.77 / $16,274.16
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,796.00 / $2,796.00 / $2,877.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.69 / $2,411.64 / $11,271.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.54 / $1,202.47 / $2,421.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.54 / $1,202.47 / $2,421.73