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Illinois rates for HCPCS L6635

Upper extremity addition, lift assist for elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.38 / $123.38 / $123.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.00 / $125.56 / $185.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.33 / $503.03 / $2,144.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.45 / $189.45 / $189.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.47 / $166.47 / $261.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.52 / $166.47 / $289.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.59 / $265.74 / $336.81
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
$324.05 / $324.05 / $324.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.52 / $187.89 / $197.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.89 / $124.36 / $213.49