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Minnesota rates for HCPCS L6650

Upper extremity addition, shoulder universal joint, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.33 / $399.33 / $399.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.13 / $357.77 / $399.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.40 / $476.75 / $663.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.40 / $452.91 / $476.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.67 / $1,471.13 / $4,085.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.75 / $585.91 / $701.99
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.39 / $1,411.48 / $3,217.28
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.75 / $552.75 / $568.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.78 / $476.75 / $2,155.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.12 / $226.33 / $478.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.12 / $226.76 / $491.05