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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
$11,220.18 / $11,220.18 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $6,760.83 / $11,220.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $13,489.63 / $19,952.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,715.19 / $13,489.63 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $50,118.72 / $120,226.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,488.17 / $17,782.79 / $19,952.62
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,904.51 / $50,118.72 / $95,499.26
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,488.17 / $15,488.17 / $21,379.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $13,489.63 / $25,703.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $5,623.41 / $14,125.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $7,244.36 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $6,456.54 / $15,848.93