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Illinois rates for HCPCS L5331

Hip Disarticulation Canadian Type Molded Socket Endoskeletal System Hip Joint Single Axis Knee Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,126.45 / $3,126.45 / $3,126.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,492.81 / $3,287.43 / $5,204.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,547.73 / $12,769.43 / $54,351.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,800.75 / $4,800.75 / $4,800.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,052.23 / $4,052.23 / $7,335.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,958.13 / $4,052.23 / $7,323.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,053.42 / $6,316.78 / $7,718.49
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
$8,211.81 / $8,211.81 / $8,211.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,566.00 / $5,094.29 / $5,349.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,320.71 / $3,151.38 / $5,409.87