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Illinois rates for HCPCS L5638

Addition To Lower Extremity Below Knee Leather Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.47 / $385.47 / $385.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.85 / $385.47 / $507.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.15 / $1,573.65 / $6,701.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.90 / $591.90 / $591.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.81 / $503.81 / $642.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.78 / $367.78 / $903.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.00 / $692.48 / $895.63
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
$1,012.45 / $1,012.45 / $1,012.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.90 / $587.01 / $616.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.77 / $388.77 / $388.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.02 / $388.54 / $667.00