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Preparatory Elbow Disarticulation/Above Elbow, Direct Formed

Illinois rates for HCPCS L6586

Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, USMC or equal pylon, no cover, direct formed

Rates data updated October 2026.

How much does Preparatory Elbow Disarticulation/Above Elbow, Direct Formed cost?

$1,549

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $1,549 for this service. The price depends on where it is billed: about $1,445 from a physician practice, and about $3,715 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,445$1,349 to $2,512
FacilityA hospital or hospital-owned outpatient department$3,715$3,020 to $6,310

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,738 to $15,849Professionalmedian $1,445 · 10th to 90th $1,230 to $3,090
$1K$2K$5K$10K$20Kfacility $3,715professional $1,445

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$2,754.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$676.08
Median
$676.08
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$269.15
Median
$269.15
Typical High
$436.52
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$199.53
Median
$199.53
Typical High
$331.13
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$134.90
Median
$134.90
Typical High
$218.78
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$3,311.31
Median
$4,570.88
Typical High
$18,620.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,737.80
Hally Health
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$2,691.53
Typical High
$3,467.37
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Molina
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,238.72
United
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$2,754.23
Typical High
$3,715.35
United
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,348.96
Typical High
$3,162.28

Where Illinois sits

The same service costs 2.1 times more in Montana than in Pennsylvania. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 26th of 51

$1,549

MT $2,692PA $1,259

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.