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Illinois rates for HCPCS L5790

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.45 / $445.45 / $445.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.39 / $479.71 / $725.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.83 / $1,818.44 / $7,743.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.99 / $683.99 / $683.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.20 / $582.20 / $975.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.01 / $582.20 / $1,043.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.99 / $1,161.82 / $1,396.84
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
$1,169.99 / $1,169.99 / $1,169.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $678.35 / $712.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.36 / $500.36 / $500.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.79 / $449.00 / $795.06