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Illinois rates for HCPCS L5726

Addition Exoskeletal Knee-Shin System Single Axis External Joints Fluid Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.92 / $1,228.92 / $1,228.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.35 / $1,254.00 / $1,898.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,966.94 / $5,019.54 / $21,363.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.19 / $1,606.19 / $2,676.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.52 / $1,606.19 / $2,878.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,986.35 / $2,482.94 / $3,078.85
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
$3,227.82 / $3,227.82 / $3,227.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.99 / $1,871.42 / $1,964.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.39 / $1,238.71 / $2,126.46