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Minnesota rates for HCPCS L6920

Wrist Disarticulation External Power Self-Suspended Inner Socket Removable Forearm Shell Otto Bock Or Equal Switch Cables Two Batteries And One Charger Switch Control Of Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,470.41 / $8,470.41 / $8,470.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,677.89 / $7,084.01 / $8,470.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,662.92 / $10,112.75 / $14,081.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,090.20 / $9,607.11 / $10,112.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,541.83 / $31,202.03 / $86,660.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,723.63 / $12,427.04 / $14,889.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,524.27 / $29,936.82 / $68,237.00
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,723.63 / $11,723.63 / $12,064.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,657.24 / $10,112.75 / $42,519.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,664.10 / $4,470.82 / $10,155.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,078.09 / $10,680.11 / $12,816.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,664.10 / $4,834.55 / $13,348.83