go back

Illinois rates for HCPCS L6623

Upper Extremity Addition Spring Assisted Rotational Wrist Unit With Latch Release

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.30 / $426.30 / $426.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.28 / $434.49 / $707.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.73 / $1,740.43 / $7,410.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.59 / $654.59 / $654.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.34 / $496.34 / $958.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.33 / $362.33 / $1,008.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.11 / $962.69 / $1,205.82
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
$1,119.69 / $1,119.69 / $1,119.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.42 / $649.17 / $681.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.10 / $429.70 / $760.87