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Minnesota rates for HCPCS L6692

Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.69 / $646.69 / $646.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.19 / $611.00 / $646.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.39 / $772.09 / $1,075.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.66 / $733.49 / $772.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.41 / $2,382.57 / $6,617.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.13 / $948.83 / $1,136.81
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,414.50 / $2,285.96 / $5,210.54
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.13 / $895.13 / $921.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.67 / $772.09 / $3,569.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.24 / $374.49 / $775.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.24 / $385.18 / $1,437.11