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Minnesota rates for HCPCS L6687

Upper Extremity Addition Frame Type Socket Below Elbow Or Wrist Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.88 / $579.88 / $579.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.88 / $579.88 / $671.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.05 / $692.31 / $964.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.85 / $657.69 / $692.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.60 / $2,136.35 / $5,933.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.50 / $850.65 / $1,019.18
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,268.32 / $2,049.71 / $4,672.06
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.50 / $802.50 / $826.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.67 / $689.15 / $3,605.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.26 / $370.06 / $746.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $456.41 / $460.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.26 / $345.39 / $761.54