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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
$120.23 / $120.23 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $85.11 / $120.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $144.54 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $144.54 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $537.03 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $190.55 / $213.80
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $537.03 / $1,023.29
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $229.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $144.54 / $257.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $72.44 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $95.50 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $72.44 / $169.82