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Illinois rates for HCPCS L5845

Addition Endoskeletal Knee-Shin System Stance Flexion Feature Adjustable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.95 / $1,070.95 / $1,070.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.12 / $1,070.95 / $1,775.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,585.34 / $4,373.93 / $18,617.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.47 / $1,644.47 / $1,644.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.83 / $1,207.83 / $2,368.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.72 / $1,207.83 / $2,508.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,839.20 / $2,488.44 / $3,037.74
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
$2,812.90 / $2,812.90 / $2,812.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.56 / $1,883.67 / $1,977.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.55 / $1,055.55 / $1,055.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.31 / $1,079.48 / $1,853.10