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Minnesota rates for HCPCS L6915

Hand Restoration (Shading And Measurements Included) Replacement Glove For Above

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.76 / $819.76 / $819.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.69 / $775.77 / $819.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.40 / $978.71 / $1,362.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.97 / $929.77 / $978.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.36 / $3,019.85 / $8,387.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.75 / $1,202.83 / $1,441.13
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,792.85 / $2,897.40 / $6,604.24
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.75 / $1,134.75 / $1,167.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.26 / $978.71 / $4,034.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.90 / $418.59 / $982.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.90 / $419.21 / $991.43