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Illinois rates for HCPCS L6915

Hand Restoration (Shading And Measurements Included) Replacement Glove For Above

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.41 / $484.41 / $484.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.54 / $484.41 / $732.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.24 / $1,979.84 / $8,420.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.36 / $644.36 / $1,093.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.38 / $644.36 / $1,134.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.93 / $872.79 / $1,162.25
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
$1,272.32 / $1,272.32 / $1,272.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.39 / $564.85 / $593.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.20 / $488.26 / $838.18