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Illinois rates for HCPCS L6647

Upper Extremity Addition Shoulder Lock Mechanism Body Powered Actuator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.26 / $310.26 / $310.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.20 / $310.26 / $514.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.89 / $1,266.99 / $5,393.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.41 / $476.41 / $476.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.51 / $405.51 / $686.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $405.51 / $726.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.16 / $841.97 / $1,012.29
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
$814.91 / $814.91 / $814.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.36 / $312.73 / $553.76