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Illinois rates for HCPCS L5716

Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $524.81 / $1,071.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,995.26 / $7,244.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $1,071.52
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,348.96 / $1,659.59
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
$1,348.96 / $1,348.96 / $1,348.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $831.76 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $524.81 / $776.25