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Illinois rates for HCPCS L2415

Addition To Knee Lock With Integrated Release Mechanism ( Bail Cable Or Equal) Any Material Each Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.23 / $75.23 / $146.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.78 / $75.23 / $117.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.90 / $295.89 / $1,259.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.34 / $111.24 / $111.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $81.70 / $160.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.64 / $81.70 / $169.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.38 / $166.95 / $204.92
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
$190.28 / $190.28 / $190.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.23 / $110.33 / $115.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.36 / $73.03 / $152.13