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Illinois rates for HCPCS L6450

Elbow Disarticulation Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,124.94 / $2,124.94 / $2,124.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.52 / $2,124.94 / $3,262.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,129.34 / $8,677.94 / $36,940.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,717.61 / $2,717.61 / $4,597.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.86 / $2,717.61 / $4,977.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,469.32 / $4,293.29 / $5,374.76
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
$5,581.28 / $5,581.28 / $5,581.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,423.68 / $3,462.41 / $3,635.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,634.57 / $2,141.88 / $3,585.85