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Minnesota rates for HCPCS L6629

Upper extremity addition, quick disconnect lamination collar with coupling piece, Otto Bock or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $114.82 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $234.42 / $346.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $234.42 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $870.96 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $309.03 / $346.74
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $870.96 / $1,659.59
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $371.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $234.42 / $416.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $97.72 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $114.82 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $102.33 / $275.42