go back

Illinois rates for HCPCS L5652

Addition To Lower Extremity Suction Suspension Above Knee Or Knee Disarticulation Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.00 / $259.00 / $259.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.68 / $278.92 / $439.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.87 / $1,057.17 / $4,502.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.69 / $397.69 / $397.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.50 / $338.50 / $575.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $338.50 / $606.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.79 / $622.48 / $759.89
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
$680.26 / $680.26 / $680.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.40 / $422.01 / $443.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.55 / $261.06 / $462.27