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Illinois rates for HCPCS L5680

Addition To Lower Extremity Below Knee Thigh Lacer Nonmolded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.81 / $180.81 / $180.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.86 / $194.72 / $334.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.25 / $739.75 / $3,143.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.64 / $277.64 / $277.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.28 / $228.28 / $441.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.64 / $228.28 / $423.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.79 / $446.61 / $545.19
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
$474.92 / $474.92 / $474.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.74 / $275.35 / $289.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.72 / $182.26 / $322.73