go back

Illinois rates for HCPCS L5785

Addition Exoskeletal System Below Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.64 / $308.64 / $308.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.48 / $328.88 / $608.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.71 / $1,261.60 / $5,365.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.93 / $473.93 / $473.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.66 / $389.66 / $685.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.45 / $389.65 / $723.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.04 / $725.19 / $885.27
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
$810.67 / $810.67 / $810.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.00 / $470.01 / $493.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.25 / $311.10 / $648.13