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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
$2,691.53 / $2,691.53 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,691.53 / $4,570.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,471.29 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $5,495.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $5,495.41 / $7,079.46
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
$7,079.46 / $7,079.46 / $7,079.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,365.16 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,691.53 / $3,981.07