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Minnesota rates for HCPCS L7191

Electronic Elbow Child Variety Village Or Equal Myoelectronically Controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,307.38 / $11,307.38 / $11,307.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,093.85 / $10,350.01 / $11,307.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,564.36 / $13,499.77 / $18,798.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,799.82 / $12,824.78 / $13,499.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,732.85 / $41,653.05 / $115,687.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,650.25 / $16,589.27 / $19,875.82
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,728.92 / $39,964.06 / $91,092.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,650.25 / $15,650.25 / $16,104.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,680.26 / $13,499.77 / $58,756.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,689.76 / $6,192.06 / $13,556.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,544.86 / $5,544.86 / $5,544.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,689.76 / $5,612.41 / $13,556.20