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Minnesota rates for HCPCS L6250

Above elbow, molded double wall socket, internal locking elbow, forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,235.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,949.84 / $3,235.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,890.45 / $5,754.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,890.45 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $14,454.40 / $34,673.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $5,128.61 / $5,754.40
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $14,454.40 / $27,542.29
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $6,165.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,890.45 / $6,918.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,621.81 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $2,137.96 / $4,365.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,819.70 / $4,570.88