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Minnesota rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $190.55 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $524.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $354.81 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,348.96 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $478.63 / $524.81
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,318.26 / $2,511.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $562.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $354.81 / $724.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $158.49 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $208.93 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $177.83 / $416.87