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Illinois rates for HCPCS L6704

Terminal device, sport/recreational/work attachment, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.41 / $403.41 / $403.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.89 / $422.17 / $628.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.67 / $1,648.97 / $7,012.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.44 / $619.44 / $619.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.25 / $527.25 / $885.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.89 / $527.25 / $945.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.60 / $884.15 / $1,120.58
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
$1,059.57 / $1,059.57 / $1,059.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.67 / $709.54 / $745.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.31 / $406.62 / $713.97