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Minnesota rates for HCPCS L6623

Upper Extremity Addition Spring Assisted Rotational Wrist Unit With Latch Release

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.42 / $721.42 / $721.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.96 / $680.38 / $721.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.82 / $861.30 / $1,199.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.04 / $818.24 / $861.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.34 / $2,657.76 / $7,381.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.63 / $1,058.54 / $1,268.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,577.88 / $2,549.98 / $5,812.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.63 / $998.63 / $1,027.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.41 / $861.30 / $3,942.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.07 / $411.76 / $864.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.75 / $463.93 / $1,512.87