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Minnesota rates for HCPCS L6624

Upper extremity addition, flexion/extension and rotation wrist unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,808.10 / $3,808.10 / $3,808.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,098.84 / $3,576.58 / $3,808.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,894.65 / $4,546.46 / $6,330.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,637.17 / $4,319.14 / $4,546.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.06 / $14,027.46 / $38,960.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,270.63 / $5,586.86 / $6,693.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,327.94 / $13,458.66 / $30,677.24
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,270.63 / $5,270.63 / $5,423.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.34 / $4,546.46 / $21,171.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.82 / $2,266.01 / $4,565.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.82 / $2,262.63 / $4,565.47