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Illinois rates for HCPCS L5850

Addition, endoskeletal system, above knee (AK) or hip disarticulation, knee extension assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.19 / $81.84 / $129.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.85 / $309.35 / $1,321.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.69 / $116.69 / $116.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.32 / $99.32 / $168.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $99.32 / $178.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.91 / $180.92 / $216.33
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
$199.60 / $199.60 / $199.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.01 / $115.73 / $121.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.16 / $76.59 / $135.63