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Illinois rates for HCPCS L5780

Addition Exoskeletal Knee-Shin System Single Axis Pneumatic/Hydra Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.91 / $792.91 / $792.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.16 / $792.91 / $1,238.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,914.36 / $3,238.76 / $13,784.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.33 / $1,036.33 / $2,015.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.53 / $1,036.33 / $1,857.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.73 / $1,917.45 / $2,340.71
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
$2,082.64 / $2,082.64 / $2,082.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.22 / $1,207.46 / $1,267.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.92 / $799.24 / $1,665.08