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Illinois rates for HCPCS L6687

Upper Extremity Addition Frame Type Socket Below Elbow Or Wrist Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.65 / $342.65 / $342.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.17 / $342.65 / $581.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.80 / $1,398.80 / $5,956.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.16 / $526.16 / $526.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.60 / $432.60 / $761.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $432.60 / $802.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.46 / $811.75 / $990.93
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
$900.00 / $900.00 / $900.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.26 / $521.79 / $547.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.79 / $456.41 / $520.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.83 / $345.39 / $592.91