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Illinois rates for HCPCS L5230

Above Knee For Proximal Femoral Focal Deficiency Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,849.21 / $2,849.21 / $2,849.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,039.02 / $2,849.21 / $3,838.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,878.34 / $11,636.94 / $49,531.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,375.04 / $4,375.04 / $4,375.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,853.06 / $2,853.06 / $5,359.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,082.73 / $2,853.06 / $6,673.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,691.92 / $5,756.63 / $7,296.21
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
$7,483.62 / $7,483.62 / $7,483.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,037.17 / $4,338.82 / $4,555.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.04 / $2,871.92 / $5,385.02