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Illinois rates for HCPCS L5661

Addition to lower extremity, socket insert, multidurometer Symes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.14 / $389.14 / $389.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.37 / $396.63 / $613.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.69 / $1,589.79 / $6,764.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.54 / $597.54 / $597.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.40 / $456.40 / $901.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.17 / $456.40 / $911.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.30 / $930.13 / $1,135.45
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
$1,022.11 / $1,022.11 / $1,022.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.12 / $684.46 / $718.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.00 / $360.00 / $360.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.66 / $392.24 / $817.16