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Minnesota rates for HCPCS A6513

Compression burn mask, face and/or neck, plastic or equal, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $758.58 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $275.42 / $295.12
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $776.25 / $1,659.59
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $316.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $29.51 / $100.00