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Minnesota rates for HCPCS A6507

Compression burn garment, foot to knee length, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $109.65 / $109.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $109.65 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $741.31 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $257.04 / $295.12
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $776.25 / $1,621.81
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $316.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65