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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
$196.11 / $196.11 / $196.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.63 / $160.06 / $196.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.57 / $234.13 / $326.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.30 / $222.42 / $234.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.00 / $722.12 / $2,005.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.50 / $287.79 / $344.81
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.71 / $692.83 / $1,579.23
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.50 / $271.50 / $279.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.26 / $233.80 / $917.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $98.01 / $235.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $98.01 / $309.05