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Illinois rates for HCPCS L5590

Preparatory Above Knee - Knee Disarticulation Ischial Level 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
$1,751.81 / $1,751.81 / $1,751.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.50 / $1,751.81 / $2,549.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,229.39 / $7,155.40 / $30,453.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,689.96 / $2,689.96 / $2,689.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,289.62 / $2,289.62 / $3,708.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.42 / $1,671.42 / $4,144.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,856.03 / $3,539.42 / $4,424.64
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
$4,601.25 / $4,601.25 / $4,601.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,998.09 / $2,854.42 / $2,997.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.55 / $1,765.78 / $3,126.71