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Illinois rates for HCPCS L6640

Upper extremity additions, shoulder abduction joint, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.17 / $201.17 / $201.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.57 / $201.93 / $336.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.95 / $820.45 / $3,497.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.07 / $244.07 / $379.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.17 / $244.07 / $471.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.68 / $406.45 / $503.70
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
$528.39 / $528.39 / $528.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.44 / $306.35 / $321.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.45 / $537.91 / $999.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.47 / $202.77 / $348.09