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Illinois rates for HCPCS L5855

Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $199.53 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $724.44 / $2,570.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $426.58
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $436.52 / $537.03
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
$478.63 / $478.63 / $478.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $295.12 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $186.21 / $316.23