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Minnesota rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.04 / $525.04 / $525.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.37 / $493.11 / $525.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.99 / $626.85 / $872.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.48 / $595.51 / $626.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.51 / $1,934.61 / $5,373.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.75 / $770.36 / $922.97
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.55 / $1,856.16 / $4,230.88
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.75 / $726.75 / $748.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.77 / $626.85 / $2,919.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.24 / $312.42 / $629.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.74 / $337.65 / $1,101.06