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Illinois rates for HCPCS L6205

Elbow Disarticulation Molded Socket With Expandable Interface Outside Locking Hinges Forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,696.17 / $2,696.17 / $2,696.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,066.67 / $2,696.17 / $3,674.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,509.46 / $11,012.86 / $46,870.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.90 / $3,523.90 / $4,938.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,572.44 / $3,523.90 / $6,315.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,489.85 / $5,470.55 / $7,003.92
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,081.66 / $7,081.66 / $7,081.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,075.21 / $4,393.17 / $4,612.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,817.10 / $2,717.66 / $4,665.32