go back

Illinois rates for HCPCS L6630

Upper extremity addition, stainless steel, any wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.71 / $170.71 / $170.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.52 / $170.71 / $217.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.81 / $696.71 / $2,967.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.12 / $262.12 / $326.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.63 / $161.63 / $284.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.99 / $161.63 / $399.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.75 / $298.75 / $396.64
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
$448.37 / $448.37 / $448.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $259.95 / $272.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.44 / $170.54 / $194.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.71 / $170.53 / $295.38