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Illinois rates for HCPCS L6703

Terminal device, passive hand/mitt, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $223.87 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $812.83 / $2,884.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $446.68
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $562.34 / $676.08
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
$257.04 / $257.04 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $338.84 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $208.93 / $346.74