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Minnesota rates for HCPCS L6703

Terminal device, passive hand/mitt, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $234.42 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $426.58 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $426.58 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,584.89 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $562.34 / $616.60
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,584.89 / $2,951.21
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $660.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $426.58 / $851.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $194.98 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $257.04 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $213.80 / $489.78