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Illinois rates for HCPCS L5010

Partial Foot Molded Socket Ankle Height With Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.81 / $956.81 / $956.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.54 / $956.81 / $1,289.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,310.27 / $3,908.57 / $16,633.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.20 / $1,469.20 / $1,469.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.06 / $913.06 / $1,861.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.53 / $913.06 / $2,241.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.53 / $1,933.16 / $2,391.90
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
$2,513.11 / $2,513.11 / $2,513.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.32 / $1,559.03 / $1,636.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.96 / $964.43 / $1,655.61