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Minnesota rates for HCPCS L6693

Upper extremity addition, locking elbow, forearm counterbalance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,819.70 / $2,884.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $5,011.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,388.44 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $12,882.50 / $30,902.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $4,570.88 / $5,011.87
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $12,882.50 / $23,988.33
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $3,388.44 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,513.56 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $2,041.74 / $4,168.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,698.24 / $3,981.07