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Illinois rates for HCPCS L5816

Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.21 / $505.21 / $505.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.84 / $544.07 / $858.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,219.53 / $2,063.23 / $8,782.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.31 / $660.31 / $1,122.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.03 / $660.31 / $1,183.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.63 / $1,279.39 / $1,566.28
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
$1,326.96 / $1,326.96 / $1,326.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.24 / $823.21 / $864.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.50 / $509.24 / $1,194.15