go back

Illinois rates for HCPCS L5341

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,323.38 / $3,323.38 / $3,323.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,708.91 / $3,430.63 / $5,336.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,023.14 / $13,573.74 / $57,774.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,103.13 / $5,103.13 / $5,103.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,790.37 / $3,790.37 / $7,497.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.97 / $3,790.37 / $7,784.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,707.45 / $7,267.82 / $9,304.95
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
$8,729.04 / $8,729.04 / $8,729.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,790.59 / $5,415.14 / $5,685.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,534.55 / $3,349.87 / $5,750.60