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Illinois rates for HCPCS L5321

Above Knee Molded Socket Open End Sach Foot Endoskeletal System Single Axis Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,134.63 / $2,134.63 / $2,134.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.66 / $2,183.67 / $4,022.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,153.18 / $8,718.29 / $37,108.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,277.78 / $3,277.78 / $3,277.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,481.10 / $2,481.10 / $4,339.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.20 / $2,481.10 / $4,999.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,665.94 / $4,809.37 / $6,038.02
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
$5,606.73 / $5,606.73 / $5,606.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,434.72 / $3,478.18 / $3,652.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.65 / $2,749.17 / $4,312.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,648.27 / $2,151.64 / $3,693.65