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Minnesota rates for HCPCS L6883

Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,174.90 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,398.83 / $3,548.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,398.83 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $8,912.51 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,162.28 / $3,548.13
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $8,912.51 / $16,982.44
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,398.83 / $4,897.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,000.00 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $1,258.93 / $2,570.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,096.48 / $2,818.38