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Illinois rates for HCPCS L6672

Upper Extremity Addition Harness Chest Or Shoulder Saddle Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.74 / $130.74 / $130.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.38 / $130.74 / $195.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.11 / $198.11 / $198.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.41 / $535.30 / $2,272.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.75 / $200.75 / $200.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.89 / $170.89 / $222.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.75 / $170.89 / $306.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.50 / $273.00 / $346.00
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
$343.40 / $343.40 / $343.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.37 / $199.10 / $209.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.86 / $131.78 / $233.35