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Illinois rates for HCPCS 97761

Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes

Professionalmedian $34 · 10th–90th $23–$490%10%10th90th$34$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $30.20 / $43.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $42.66 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $42.66 / $74.13
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $56.23 / $85.11
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $51.29 / $53.70
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $36.31 / $48.98