go back

Illinois rates for HCPCS L5699

All lower extremity prostheses, shoulder harness

Facilitymedian $282 · 10th–90th $120$1,2590%20%10th90th$282Professionalmedian $132 · 10th–90th $102$2510%20%10th90th$132$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $125.89 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $478.63 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $169.82 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $251.19
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $309.03 / $380.19
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $213.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $199.53 / $363.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $123.03 / $204.17