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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
$426.58 / $426.58 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $457.09 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,659.59 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $954.99
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $977.24 / $1,230.27
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
$1,122.02 / $1,122.02 / $1,122.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $691.83 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $426.58 / $645.65