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Compression Burn Garment, Glove to Wrist, Custom Fabricated

Minnesota rates for HCPCS A6504

Compression burn garment, glove to wrist, custom fabricated

Rates data updated July 2026.

How much does Compression Burn Garment, Glove to Wrist, Custom Fabricated cost?

$135

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $1,288 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$135$107 to $135
FacilityA hospital or hospital-owned outpatient department$1,288$759 to $1,905

How much rates vary

Facilitymedian $1,288 · 10th to 90th $135 to $3,548Professionalmedian $135 · 10th to 90th $89 to $501
$100$200$500$1K$2K$5Kfacility $1,288professional $135

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$512.86
Typical High
$1,230.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$134.90
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,445.44
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$575.44
Typical High
$645.65
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,513.56
Typical High
$3,548.13
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$691.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$245.47

Where Minnesota sits

The same service costs 1.5 times more in Minnesota than in Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Minnesota· 1st of 51

$135

MN $135VA $89.13

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.