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Minnesota rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.67 / $534.67 / $534.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.02 / $534.67 / $534.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.83 / $638.35 / $888.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.68 / $606.42 / $638.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.94 / $1,969.78 / $5,470.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.88 / $784.27 / $939.64
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,169.44 / $1,871.63 / $4,307.80
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.88 / $739.88 / $761.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.77 / $638.35 / $3,399.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.31 / $318.47 / $686.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.31 / $318.47 / $680.90