go back

Illinois rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $181.97 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $691.83 / $2,454.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $389.05
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $416.87 / $524.81
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
$467.74 / $467.74 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $288.40 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $177.83 / $275.42