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Illinois rates for HCPCS L5645

Addition To Lower Extremity Below Knee Flexible Inner Socket External Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.08 / $582.08 / $582.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.14 / $582.08 / $805.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,405.56 / $2,377.96 / $10,118.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.79 / $893.79 / $929.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.09 / $694.09 / $1,053.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.69 / $694.09 / $1,363.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.66 / $1,228.01 / $1,556.32
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
$1,528.85 / $1,528.85 / $1,528.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.91 / $948.45 / $995.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.22 / $586.72 / $1,007.20