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Minnesota rates for HCPCS L6677

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

Facilitymedian $417 · 10th–90th $309–$2,6300%20%10th90th$417Professionalmedian $355 · 10th–90th $178–$4170%20%40%10th90th$355$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $213.80 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $354.81 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $354.81 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,348.96 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $478.63 / $524.81
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,318.26 / $2,630.27
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $562.34
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $354.81 / $1,659.59
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $158.49 / $389.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $208.93 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $186.21 / $489.78