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Minnesota rates for HCPCS L7400

Addition To Upper Extremity Prosthesis Below Elbow Elbow/Wrist Disarticulation Ultralight Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.89 / $309.89 / $309.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.81 / $291.07 / $309.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.94 / $369.99 / $515.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.99 / $351.49 / $369.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.35 / $1,141.10 / $3,169.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.00 / $454.74 / $544.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.46 / $1,094.83 / $2,495.54
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.00 / $429.00 / $441.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $369.99 / $1,722.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.93 / $184.41 / $371.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.93 / $184.14 / $371.52