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Illinois rates for HCPCS L5718

Addition Exoskeletal Knee-Shin System Polycentric Friction Swing And Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.71 / $550.71 / $550.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.28 / $576.65 / $985.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,329.24 / $2,248.84 / $9,573.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.79 / $719.79 / $1,603.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.45 / $719.79 / $1,290.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.09 / $1,446.86 / $1,739.55
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
$1,446.47 / $1,446.47 / $1,446.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.04 / $838.63 / $880.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.57 / $555.10 / $982.93