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Minnesota rates for HCPCS L6110

Below elbow, molded socket (Muenster or Northwestern suspension types)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,690.92 / $2,690.92 / $2,690.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.00 / $2,388.67 / $2,690.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,752.07 / $3,212.66 / $4,473.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.13 / $3,052.03 / $3,212.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.17 / $9,912.02 / $27,529.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,724.50 / $3,947.97 / $4,730.12
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,884.65 / $9,510.10 / $21,677.01
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,724.50 / $3,724.50 / $3,832.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.79 / $3,212.66 / $13,048.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.90 / $1,364.95 / $3,226.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,448.21 / $1,448.21 / $1,448.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.90 / $1,364.95 / $3,309.04