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Minnesota rates for HCPCS L6882

Microprocessor Control Feature Addition To Upper Limb Prosthetic Terminal Device (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,135.75 / $3,135.75 / $3,135.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,728.28 / $2,945.07 / $3,135.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,226.60 / $3,995.93 / $5,263.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,994.99 / $3,556.55 / $3,743.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.80 / $11,550.75 / $32,081.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,340.25 / $4,600.67 / $5,512.12
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,857.54 / $10,975.20 / $25,260.81
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,340.25 / $4,340.25 / $4,466.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.45 / $3,743.74 / $17,433.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.32 / $1,865.91 / $3,759.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.32 / $1,668.47 / $3,759.39