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Illinois rates for HCPCS L5826

Addition Endoskeletal Knee-Shin System Single Axis Hydraulic Swing Phase Control With Miniature High Activity Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,865.95 / $1,865.95 / $1,865.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.36 / $1,865.95 / $3,186.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,504.47 / $7,620.77 / $32,438.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,865.22 / $2,865.22 / $2,865.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,677.88 / $2,677.88 / $4,126.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.85 / $2,677.88 / $4,370.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,204.52 / $4,281.68 / $5,278.03
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
$4,901.03 / $4,901.03 / $4,901.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,297.39 / $3,281.99 / $3,446.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.34 / $1,880.82 / $3,330.43