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Illinois rates for HCPCS L5250

Hip Disarticulation Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.78 / $3,340.78 / $3,340.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,781.05 / $3,340.78 / $5,462.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,066.07 / $13,646.37 / $58,076.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,366.38 / $4,366.38 / $7,698.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,187.46 / $4,366.38 / $7,825.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,737.34 / $7,563.38 / $9,449.73
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
$8,774.75 / $8,774.75 / $8,774.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,810.45 / $5,443.51 / $5,715.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,602.05 / $3,367.41 / $5,962.77