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Illinois rates for HCPCS L6675

Upper extremity addition, harness, (e.g., figure of eight type), single cable design

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $75.86 / $141.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $281.84 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $165.96
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $177.83 / $213.80
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
$186.21 / $186.21 / $186.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $114.82 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $72.44 / $120.23