go back

Minnesota rates for HCPCS L6693

Upper Extremity Addition Locking Elbow Forearm Counterbalance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,870.69 / $2,870.69 / $2,870.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,582.17 / $2,696.14 / $2,870.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,935.94 / $3,427.30 / $4,772.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,741.84 / $3,255.94 / $3,427.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.07 / $10,575.17 / $29,371.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,973.13 / $4,211.51 / $5,045.87
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,278.35 / $10,146.36 / $23,127.28
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,973.13 / $3,973.13 / $4,088.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,015.67 / $3,427.30 / $16,018.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.29 / $1,708.18 / $3,441.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.39 / $2,018.42 / $2,036.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.29 / $1,705.64 / $3,441.62