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Illinois rates for HCPCS L6920

Wrist Disarticulation External Power Self-Suspended Inner Socket Removable Forearm Shell Otto Bock Or Equal Switch Cables Two Batteries And One Charger Switch Control Of Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,005.24 / $5,005.24 / $5,005.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,026.86 / $5,005.24 / $7,033.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,084.00 / $20,444.00 / $87,012.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,541.83 / $6,541.83 / $9,913.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.54 / $6,541.83 / $11,723.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,090.20 / $9,274.85 / $11,629.66
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
$13,146.58 / $13,146.58 / $13,146.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,112.75 / $12,816.13 / $23,816.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,478.88 / $5,045.14 / $8,660.83