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Illinois rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $912.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,698.24 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $891.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,230.27
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
$1,148.15 / $1,148.15 / $1,148.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $707.95 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $660.69