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Illinois rates for HCPCS L5611

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.12 / $957.12 / $957.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.65 / $975.53 / $1,693.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,310.27 / $3,908.57 / $16,638.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.69 / $1,469.69 / $1,469.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.77 / $1,226.77 / $2,438.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $1,226.77 / $2,241.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,643.73 / $2,223.87 / $2,707.32
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
$2,513.94 / $2,513.94 / $2,513.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.26 / $1,457.52 / $1,530.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.68 / $964.75 / $1,708.31