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Illinois rates for HCPCS L6629

Upper Extremity Addition Quick Disconnect Lamination Collar With Coupling Piece Otto Bock Or Equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.88 / $115.88 / $115.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.42 / $115.88 / $147.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.83 / $473.44 / $2,014.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.94 / $177.94 / $177.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.00 / $113.00 / $199.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $113.00 / $271.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.30 / $231.60 / $281.39
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
$304.37 / $304.37 / $304.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.52 / $176.47 / $185.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.87 / $116.81 / $200.52