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Illinois rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.39 / $34.39 / $34.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.66 / $35.13 / $51.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.68 / $139.88 / $597.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.80 / $52.80 / $52.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $72.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $44.94 / $80.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.11 / $81.06 / $103.80
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
$90.32 / $90.32 / $90.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $52.37 / $54.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.24 / $37.24 / $37.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.49 / $34.65 / $61.37