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Minnesota rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.24 / $198.24 / $198.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.41 / $182.78 / $198.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.74 / $236.68 / $329.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.34 / $224.85 / $236.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $730.39 / $2,028.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.50 / $290.97 / $348.62
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.63 / $694.00 / $1,597.33
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.50 / $274.50 / $282.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.87 / $236.68 / $1,050.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.04 / $107.27 / $237.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $120.51 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.04 / $107.27 / $319.52