go back

Minnesota rates for HCPCS L6883

Replacement Socket Below Elbow/Wrist Disarticulation Molded To Patient Model For Use With Or With Or Without External Power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,008.64 / $2,008.64 / $2,008.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.53 / $1,938.01 / $2,008.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,054.30 / $2,398.11 / $3,339.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,918.49 / $2,278.19 / $2,398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.30 / $7,399.10 / $20,550.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,780.25 / $2,947.07 / $3,530.92
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,392.76 / $7,099.08 / $16,181.40
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,780.25 / $2,780.25 / $2,860.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$631.84 / $2,398.11 / $9,894.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.47 / $1,061.06 / $2,408.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.47 / $1,026.23 / $2,408.12