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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
$1,819.70 / $1,819.70 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,174.90 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,187.76 / $3,235.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,187.76 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $8,317.64 / $19,498.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,884.03 / $3,235.94
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $8,128.31 / $15,488.17
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $3,467.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,187.76 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $977.24 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $1,288.25 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,096.48 / $2,570.40