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Illinois rates for HCPCS L5620

Addition To Lower Extremity Test Socket Below Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.13 / $177.13 / $177.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.02 / $190.75 / $280.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.71 / $723.61 / $3,079.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.99 / $271.99 / $306.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.59 / $209.59 / $373.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $209.59 / $414.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.08 / $414.64 / $514.36
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
$465.24 / $465.24 / $465.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.03 / $288.62 / $303.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.98 / $232.55 / $357.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.43 / $178.54 / $316.14