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Illinois rates for HCPCS L6624

Upper Extremi Addi, Flexion/Extens And Rotation Wrist Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,250.23 / $2,250.23 / $2,250.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,981.68 / $2,250.23 / $3,730.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,433.03 / $9,191.73 / $39,118.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,455.31 / $3,455.31 / $3,455.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.06 / $2,941.06 / $4,976.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.96 / $2,146.96 / $5,586.86
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,091.82 / $5,372.52 / $6,558.46
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
$5,910.40 / $5,910.40 / $5,910.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.34 / $2,268.17 / $3,893.71