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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
$8,511.38 / $8,511.38 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $5,011.87 / $8,511.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $14,791.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,128.31 / $10,000.00 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $38,018.94 / $91,201.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,748.98 / $13,489.63 / $14,791.08
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,512.09 / $38,018.94 / $70,794.58
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $15,848.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $10,000.00 / $18,197.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $4,168.69 / $10,232.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $5,248.07 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $4,570.88 / $11,748.98