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Illinois rates for HCPCS L6930

Below Elbow 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
$4,820.75 / $4,820.75 / $4,820.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,908.58 / $4,820.75 / $6,977.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,638.80 / $19,690.80 / $83,805.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,402.40 / $7,402.40 / $7,402.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,300.68 / $6,300.68 / $9,834.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,599.50 / $6,300.68 / $11,291.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,771.11 / $8,940.25 / $11,201.00
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
$12,662.00 / $12,662.00 / $12,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,350.77 / $4,859.17 / $8,604.28