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Illinois rates for HCPCS L6691

Upper extremity addition, removable insert, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $223.87 / $436.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $831.76 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $489.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $478.63 / $616.60
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
$549.54 / $549.54 / $549.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $338.84 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $213.80 / $354.81