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Minnesota rates for HCPCS L6632

Upper extremity addition, latex suspension sleeve, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $45.71 / $66.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $77.62 / $114.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $77.62 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $288.40 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $102.33 / $114.82
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $288.40 / $549.54
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $123.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $77.62 / $158.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $38.90 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $51.29 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $41.69 / $91.20