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Illinois rates for HCPCS L5702

Replacement Socket Hip Disarticulation Including Hip Joint Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,865.63 / $2,865.63 / $2,865.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,414.42 / $2,865.63 / $4,682.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.09 / $11,704.19 / $49,816.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,400.26 / $4,400.26 / $4,400.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,745.37 / $3,745.37 / $7,621.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,734.12 / $2,734.12 / $7,114.85
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,921.34 / $6,464.77 / $8,105.73
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
$7,526.75 / $7,526.75 / $7,526.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,268.49 / $4,669.28 / $4,902.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,167.94 / $2,888.47 / $6,017.65