go back

Illinois rates for HCPCS L5500

Initial Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.11 / $881.11 / $881.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.39 / $881.11 / $1,364.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,127.42 / $3,599.22 / $15,317.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.22 / $963.22 / $2,221.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.15 / $963.22 / $2,064.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.20 / $1,942.86 / $2,437.46
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
$2,314.30 / $2,314.30 / $2,314.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.24 / $1,341.78 / $1,408.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.78 / $888.14 / $1,564.81