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Illinois rates for HCPCS L6250

Above Elbow Molded Double Wall Socket Internal Locking Elbow Forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,922.87 / $1,922.87 / $1,922.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.34 / $1,922.87 / $2,964.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,642.80 / $7,854.80 / $33,427.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,952.62 / $2,952.62 / $3,697.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,561.34 / $2,561.34 / $4,177.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,869.78 / $2,561.34 / $4,503.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,302.28 / $4,273.53 / $5,416.98
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
$5,050.54 / $5,050.54 / $5,050.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,193.20 / $3,133.15 / $3,289.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.96 / $1,938.20 / $3,327.24