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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
$29.74 / $29.74 / $29.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.74 / $29.74 / $37.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.87 / $717.98 / $1,664.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.20 / $291.08 / $305.36
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.50 / $657.98 / $1,570.18
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.88 / $232.88 / $277.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.74 / $29.74 / $53.53