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Illinois rates for HCPCS L5632

Addition To Lower Extremity Symes Type Ptb Brim Design Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.88 / $160.88 / $160.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.01 / $160.88 / $247.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.96 / $656.36 / $2,796.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.03 / $247.03 / $247.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.52 / $166.52 / $332.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.56 / $166.52 / $376.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.45 / $342.88 / $434.57
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
$422.55 / $422.55 / $422.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.50 / $262.14 / $275.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.89 / $162.16 / $287.14