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Minnesota rates for HCPCS L6675

Upper extremity addition, harness, (e.g., figure of eight type), single cable design

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.74 / $120.74 / $120.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.18 / $120.74 / $120.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.48 / $144.13 / $200.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.31 / $136.93 / $144.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.07 / $444.86 / $1,235.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.25 / $177.29 / $212.41
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.11 / $426.82 / $972.88
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.25 / $167.25 / $172.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.81 / $144.13 / $730.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.94 / $71.91 / $155.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.88 / $84.46 / $253.18