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Illinois rates for HCPCS L6895

Addition To Upper Extremity Prosthesis Glove For Terminal Device Any

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.03 / $399.03 / $399.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.89 / $399.03 / $625.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.54 / $1,630.14 / $6,936.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.72 / $612.72 / $612.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.79 / $418.79 / $844.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.72 / $418.79 / $934.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.65 / $705.05 / $927.14
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
$1,048.07 / $1,048.07 / $1,048.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.12 / $650.17 / $682.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.73 / $306.73 / $306.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.20 / $402.20 / $690.45