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Minnesota rates for HCPCS L5990

Addition to lower extremity prosthesis, user adjustable heel height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,834.40 / $1,834.40 / $1,834.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.07 / $1,722.90 / $1,834.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,876.09 / $2,190.07 / $3,049.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.06 / $2,080.57 / $2,190.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.54 / $6,757.68 / $18,768.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,539.13 / $2,691.47 / $3,224.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,011.95 / $6,483.66 / $14,778.65
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,539.13 / $2,539.13 / $2,612.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.04 / $2,190.07 / $10,198.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.72 / $1,091.58 / $2,199.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.37 / $2,608.67 / $3,130.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.72 / $1,092.02 / $2,199.21