go back

Minnesota rates for HCPCS L6621

Upper Extremity Prosthesis Addition Flexion/Extension Wrist With Or Without Friction For Use With External Powered Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.83 / $2,312.83 / $2,312.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.70 / $2,172.19 / $2,312.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,365.40 / $2,761.27 / $3,844.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,209.02 / $2,623.21 / $2,761.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.24 / $8,519.52 / $23,662.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,201.00 / $3,393.06 / $4,065.27
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,057.93 / $8,174.06 / $18,631.68
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,201.00 / $3,201.00 / $3,294.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.30 / $2,761.27 / $12,858.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.41 / $1,376.24 / $2,772.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.41 / $1,374.19 / $2,772.82