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Illinois rates for HCPCS L5585

Preparatory Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Prefabricated Adjustable Open End Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.69 / $1,967.69 / $1,967.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,371.38 / $1,967.69 / $2,912.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,750.92 / $8,037.72 / $34,206.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,021.44 / $3,021.44 / $3,021.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,571.77 / $2,571.77 / $3,670.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.39 / $2,571.77 / $4,608.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,180.46 / $3,975.58 / $4,929.72
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
$5,168.25 / $5,168.25 / $5,168.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,097.50 / $2,996.43 / $3,146.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.25 / $1,983.38 / $3,512.02