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Illinois rates for HCPCS L5634

Addition to lower extremity, Symes type, posterior opening (Canadian) socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.19 / $201.19 / $201.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.04 / $201.19 / $306.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.95 / $820.45 / $3,497.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.93 / $308.93 / $308.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.64 / $274.64 / $431.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.49 / $274.64 / $471.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.52 / $481.40 / $587.66
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
$528.44 / $528.44 / $528.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.46 / $306.38 / $321.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.79 / $202.79 / $359.09