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Illinois rates for HCPCS L5450

Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.58 / $282.58 / $282.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.06 / $293.69 / $445.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.11 / $1,154.01 / $4,912.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.91 / $433.91 / $433.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.54 / $305.54 / $649.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.04 / $305.54 / $661.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.29 / $605.36 / $767.20
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
$742.21 / $742.21 / $742.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.23 / $430.33 / $451.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.40 / $244.40 / $244.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.37 / $284.83 / $500.13