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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
$575.44 / $575.44 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $416.87 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $691.83 / $1,023.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $691.83 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,570.40 / $6,165.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $912.01 / $1,023.29
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,570.40 / $4,897.79
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $1,096.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $691.83 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $346.74 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $457.09 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $363.08 / $812.83