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Minnesota rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.09 / $3,206.09 / $3,206.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.08 / $2,798.33 / $3,206.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,298.98 / $4,085.56 / $5,381.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,062.18 / $3,636.33 / $3,827.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,476.09 / $11,810.42 / $32,802.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,437.38 / $4,703.62 / $5,635.47
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,011.71 / $11,331.52 / $25,828.70
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,437.38 / $4,437.38 / $4,566.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.17 / $3,827.72 / $16,803.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.89 / $1,770.29 / $3,843.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.89 / $1,773.65 / $6,723.39