go back

Illinois rates for HCPCS L5570

Preparatory Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Thermoplastic Or Equal Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,353.78 / $1,353.78 / $1,353.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.06 / $1,434.55 / $2,250.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,269.04 / $5,530.64 / $23,534.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,769.38 / $1,769.38 / $3,171.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.65 / $1,769.38 / $3,171.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,324.94 / $2,882.92 / $3,640.36
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
$3,555.79 / $3,555.79 / $3,555.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.10 / $2,205.86 / $2,316.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.35 / $1,364.57 / $2,416.28