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Minnesota rates for HCPCS L6615

Upper Extremity Addition Disconnect Locking Wrist Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.63 / $216.63 / $216.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.34 / $183.61 / $216.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.55 / $258.63 / $360.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.90 / $245.70 / $258.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.58 / $797.64 / $2,215.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $318.00 / $381.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.55 / $765.29 / $1,744.39
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $300.00 / $308.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.16 / $258.63 / $1,083.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.34 / $116.38 / $259.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.34 / $111.45 / $259.72