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Minnesota rates for HCPCS L6655

Upper Extremity Addition Standard Control Cable Extra

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.47 / $77.47 / $77.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.08 / $77.47 / $79.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.23 / $92.49 / $128.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.98 / $87.87 / $92.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.82 / $285.54 / $793.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.25 / $113.69 / $136.21
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.52 / $273.95 / $624.45
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.25 / $107.25 / $110.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.91 / $92.49 / $477.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.99 / $46.14 / $96.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.18 / $120.21 / $144.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.99 / $44.98 / $96.17