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Minnesota rates for HCPCS L6630

Upper extremity addition, stainless steel, any wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.89 / $288.89 / $288.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.77 / $227.79 / $288.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.45 / $344.90 / $480.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.92 / $327.66 / $344.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.63 / $1,064.55 / $2,956.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.75 / $423.74 / $507.68
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.01 / $1,021.39 / $2,328.11
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.75 / $399.75 / $411.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.81 / $344.90 / $1,316.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.03 / $144.10 / $346.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $170.54 / $172.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.03 / $144.10 / $346.34