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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
$4,073.80 / $4,073.80 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,398.83 / $4,073.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $4,897.79 / $7,079.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $4,897.79 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $18,197.01 / $43,651.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $6,456.54 / $7,079.46
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $18,197.01 / $33,884.42
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $7,585.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,897.79 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,949.84 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $2,398.83 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,041.74 / $5,623.41