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Illinois rates for HCPCS L5856

Addition To Lower Proximity Prosthesis Endoskeletal Knee-Shin System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,343.57 / $14,343.57 / $31,701.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,631.57 / $14,343.57 / $23,777.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,200.00 / $58,585.51 / $249,351.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,024.94 / $22,024.94 / $22,024.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,200.25 / $16,200.25 / $31,714.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,826.18 / $16,200.25 / $33,597.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25,870.52 / $31,742.25 / $40,230.11
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
$37,674.23 / $37,674.23 / $37,674.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,660.06 / $25,228.67 / $26,490.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,980.18 / $41,482.01 / $77,087.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,778.61 / $14,457.89 / $25,601.03