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Illinois rates for HCPCS L5616

Addition To Lower Extremity Endoskeletal System Above Knee Universal Multiplex System Friction Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.83 / $877.83 / $877.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.97 / $945.35 / $1,373.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,119.46 / $3,585.77 / $15,260.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.93 / $1,347.93 / $1,415.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.60 / $1,018.60 / $2,099.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $743.58 / $2,099.48
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.55 / $1,903.56 / $2,412.57
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
$2,305.67 / $2,305.67 / $2,305.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.74 / $1,336.78 / $1,403.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.71 / $884.83 / $1,518.95