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Minnesota rates for HCPCS L6715

Terminal Device Multiple Articulating Digit Includes Motor(S) Initial Issue Or Replacement (Reinstated Code Previous Description Was Terminal Device Hook Dorrance Or Equal Model # 5xa (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,192.39 / $3,192.39 / $3,192.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,759.49 / $3,192.39 / $3,192.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,264.95 / $3,811.37 / $5,307.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,049.10 / $3,620.80 / $3,811.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.07 / $11,759.73 / $32,661.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,418.63 / $4,683.74 / $5,611.65
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,981.61 / $11,282.88 / $25,717.84
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,418.63 / $4,418.63 / $4,546.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,494.36 / $3,811.37 / $17,752.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.68 / $1,900.08 / $3,827.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.68 / $1,822.08 / $3,827.30