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Illinois rates for HCPCS L5540

Preparatory Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Laminated Socket Molded To Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.17 / $1,224.17 / $1,224.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.31 / $1,224.17 / $2,114.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,955.81 / $5,000.71 / $21,281.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,879.75 / $1,879.75 / $2,116.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.98 / $1,599.98 / $2,980.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,599.98 / $2,867.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,102.35 / $2,709.81 / $3,431.85
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
$3,215.36 / $3,215.36 / $3,215.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,396.27 / $1,994.68 / $2,094.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.15 / $1,233.93 / $2,184.96