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Minnesota rates for HCPCS L6895

Addition To Upper Extremity Prosthesis Glove For Terminal Device Any

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.28 / $675.28 / $675.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.83 / $599.13 / $675.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.84 / $860.50 / $1,133.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.97 / $765.90 / $806.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.79 / $2,487.06 / $6,907.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.50 / $990.57 / $1,186.82
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,476.54 / $2,386.21 / $5,439.05
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.50 / $934.50 / $961.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.34 / $806.21 / $3,451.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.90 / $373.36 / $809.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.73 / $306.73 / $306.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.90 / $374.07 / $1,392.85