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Illinois rates for HCPCS L5617

Addition To Lower Extremity Quick Change Self-Aligning Unit Above Knee Or Below Knee Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.31 / $334.31 / $334.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.39 / $336.59 / $554.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.72 / $1,366.52 / $5,811.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.34 / $513.34 / $513.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.96 / $436.96 / $738.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $436.96 / $783.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.13 / $707.07 / $896.14
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
$878.09 / $878.09 / $878.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.74 / $336.97 / $596.69