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Illinois rates for HCPCS L6693

Upper Extremity Addition Locking Elbow Forearm Counterbalance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,696.32 / $1,696.32 / $1,696.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,493.85 / $1,696.32 / $2,811.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,095.84 / $6,929.44 / $29,489.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,604.75 / $2,604.75 / $2,604.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.07 / $2,217.07 / $3,751.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.46 / $2,217.07 / $3,973.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,913.21 / $3,989.59 / $4,870.26
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
$4,455.49 / $4,455.49 / $4,455.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,018.42 / $2,133.69 / $3,427.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.26 / $1,709.84 / $3,002.24