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Illinois rates for HCPCS 97763

Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes

Facilitymedian $81 · 10th–90th $54–$2090%10%10th90th$81Professionalmedian $54 · 10th–90th $47–$890%20%10th90th$54$20.0$50.0$100.0$200.0$500.0$1.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $81.28 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $53.70 / $91.20
Aetna
Facility/Professional
Professional
Modifier
CO
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Aetna
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $89.13 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $52.48 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $64.57 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $61.66 / $95.50
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $70.79 / $194.98
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $63.10 / $66.07
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $54.95 / $72.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $48.98 / $85.11