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Minnesota rates for HCPCS L6310

Shoulder Disarticulation Passive Restoration (Complete Prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,067.67 / $4,067.67 / $4,067.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,770.25 / $3,467.03 / $4,067.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,160.12 / $4,856.35 / $6,762.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,885.08 / $4,613.53 / $4,856.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,141.52 / $14,984.42 / $41,617.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,629.88 / $5,967.67 / $7,149.94
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,896.07 / $14,376.82 / $32,770.05
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,629.88 / $5,629.88 / $5,793.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.26 / $4,844.28 / $18,963.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.39 / $2,029.07 / $4,876.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.39 / $2,032.10 / $6,313.26