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Illinois rates for HCPCS L5686

Addition to lower extremity, below knee (BK), back check (extension control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $34.67 / $70.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $134.90 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $72.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $81.28 / $104.71
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
$91.20 / $91.20 / $91.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $52.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $54.95 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $34.67 / $52.48