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Minnesota rates for HCPCS L6500

Above Elbow Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,531.26 / $3,531.26 / $3,531.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.34 / $3,530.00 / $3,531.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,611.51 / $4,215.93 / $5,870.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,372.74 / $4,005.13 / $4,215.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,970.85 / $13,008.43 / $36,129.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,887.38 / $5,180.62 / $6,206.97
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,722.95 / $12,480.95 / $28,448.68
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,887.38 / $4,887.38 / $5,029.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.58 / $4,215.93 / $19,143.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,231.75 / $2,066.26 / $4,233.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,446.67 / $2,420.57 / $7,405.28