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Minnesota rates for HCPCS L6704

Terminal device, sport/recreational/work attachment, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $426.58 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $812.83 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,090.30 / $7,244.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,071.52 / $1,202.26
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $3,019.95 / $5,754.40
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,288.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $812.83 / $1,659.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $346.74 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $467.74 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $389.05 / $954.99