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Minnesota rates for HCPCS L6360

Interscapular Thoracic Passive Restoration (Complete Prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,269.50 / $4,269.50 / $4,269.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,858.09 / $3,366.54 / $4,269.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,366.53 / $5,097.31 / $7,097.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,077.85 / $4,842.43 / $5,097.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,297.39 / $15,727.23 / $43,681.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,909.25 / $6,263.81 / $7,504.75
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,337.07 / $15,089.51 / $34,394.53
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,909.25 / $5,909.25 / $6,080.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,268.23 / $5,086.62 / $19,929.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.50 / $2,129.76 / $5,118.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.50 / $2,119.16 / $5,118.62