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Illinois rates for HCPCS L6400

Below Elbow Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,625.88 / $1,625.88 / $1,625.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.34 / $1,625.88 / $2,356.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,925.71 / $6,641.61 / $28,264.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,496.58 / $2,496.58 / $2,496.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,125.02 / $2,125.02 / $3,321.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.26 / $2,125.02 / $3,808.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,755.98 / $3,368.82 / $4,269.64
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
$4,270.46 / $4,270.46 / $4,270.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,854.46 / $2,649.23 / $2,781.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.85 / $1,638.84 / $2,813.34