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Minnesota rates for HCPCS L7499

Upper extremity prosthesis, not otherwise specified

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $33,113.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18