go back

Illinois rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Facilitymedian $537 · 10th–90th $240–$2,5120%20%10th90th$537Professionalmedian $275 · 10th–90th $200–$5130%20%10th90th$275$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $263.03 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $933.25 / $3,311.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $489.78
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $630.96 / $758.58
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $389.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $389.05 / $707.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $239.88 / $398.11