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Minnesota rates for HCPCS L6205

Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,691.53 / $4,570.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,495.41 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $5,495.41 / $5,495.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $20,417.38 / $48,977.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $7,244.36 / $7,943.28
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $20,417.38 / $38,018.94
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,495.41 / $9,772.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,290.87 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $2,884.03 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,511.89 / $6,309.57