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Illinois rates for HCPCS L6650

Upper Extremity Addition Shoulder Universal Joint Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.97 / $235.97 / $235.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.43 / $240.00 / $344.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.22 / $963.02 / $4,102.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.33 / $362.33 / $362.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.67 / $280.67 / $446.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.89 / $280.67 / $552.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.24 / $524.42 / $667.45
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
$619.78 / $619.78 / $619.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.53 / $359.33 / $377.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.75 / $237.85 / $421.16