go back

Illinois rates for HCPCS L5510

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,052.20 / $1,052.20 / $1,052.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.34 / $1,052.20 / $1,591.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,540.82 / $4,298.62 / $18,291.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.24 / $1,375.24 / $2,281.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.93 / $1,375.24 / $2,464.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,747.40 / $2,138.40 / $2,710.21
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
$2,763.67 / $2,763.67 / $2,763.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.12 / $1,714.46 / $1,800.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.91 / $1,060.58 / $1,820.67