go back

Illinois rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.78 / $153.78 / $153.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.57 / $161.29 / $257.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.47 / $626.77 / $2,673.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.13 / $236.13 / $236.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.02 / $197.02 / $340.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $197.02 / $360.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.63 / $349.79 / $434.98
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
$403.91 / $403.91 / $403.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.92 / $234.18 / $245.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.63 / $136.63 / $136.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.14 / $155.00 / $322.93