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Illinois rates for HCPCS L5535

Preparatory, below knee (BK) PTB type socket, nonalignable system, no cover, SACH foot, prefabricated, adjustable open end socket

Facilitymedian $2,630 · 10th–90th $1,148$12,0230%20%10th90th$2,630Professionalmedian $1,230 · 10th–90th $912$2,3990%20%10th90th$1,230$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,174.90
Typical High
$2,238.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$4,570.88
Typical High
$16,218.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$2,691.53
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,454.71
Typical High
$3,090.30
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,905.46
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,174.90
Typical High
$1,949.84