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Minnesota rates for HCPCS L6925

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,049.23 / $9,049.23 / $9,049.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,951.07 / $8,143.42 / $9,049.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,254.90 / $10,803.79 / $15,043.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,643.03 / $10,263.60 / $10,803.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,261.93 / $33,334.24 / $92,583.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,525.00 / $13,276.50 / $15,906.75
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,790.14 / $31,982.56 / $72,900.00
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,525.00 / $12,525.00 / $12,888.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,067.74 / $10,803.79 / $48,028.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,075.66 / $5,161.50 / $10,848.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,075.66 / $5,151.74 / $12,100.24