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Minnesota rates for HCPCS L6691

Upper Extremity Addition Removable Insert Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.47 / $355.47 / $355.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.93 / $355.47 / $364.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.55 / $424.39 / $590.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.51 / $403.17 / $424.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $1,309.74 / $3,637.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.00 / $521.52 / $624.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$777.58 / $1,256.63 / $2,864.33
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.00 / $492.00 / $506.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.44 / $424.39 / $2,227.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.80 / $211.72 / $445.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.80 / $222.70 / $441.93