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Minnesota rates for HCPCS L5999

Lower extremity prosthesis, not otherwise specified

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $912.01 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19