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Minnesota rates for HCPCS L6676

Upper Extremity Addition Harness (E.G. Figure Of Eight Type) Dual Cable Design. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.32 / $126.32 / $126.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.01 / $126.32 / $126.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.19 / $150.80 / $209.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.64 / $143.26 / $150.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.54 / $465.55 / $1,293.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.75 / $185.24 / $221.93
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.39 / $446.67 / $1,018.13
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.75 / $174.75 / $180.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.29 / $150.80 / $771.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.41 / $79.13 / $156.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.41 / $75.23 / $151.43