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Illinois rates for HCPCS L5647

Addition To Lower Extremity Below Knee Suction Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.54 / $472.54 / $472.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.37 / $481.63 / $860.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.03 / $1,928.73 / $8,214.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.61 / $725.61 / $725.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.58 / $596.58 / $1,400.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.50 / $435.50 / $1,173.42
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.58 / $1,134.16 / $1,356.13
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
$1,241.18 / $1,241.18 / $1,241.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.97 / $769.97 / $808.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.41 / $665.36 / $954.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.92 / $476.31 / $836.34