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Illinois rates for HCPCS L6645

Upper Extremity Addition Shoulder Flexion-Abduction Joint Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.56 / $217.56 / $217.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.18 / $228.59 / $399.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.70 / $887.70 / $3,782.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.07 / $334.07 / $334.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.27 / $305.27 / $446.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.85 / $305.27 / $509.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.63 / $488.56 / $615.38
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
$571.42 / $571.42 / $571.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.91 / $331.30 / $347.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.30 / $219.29 / $376.44