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Illinois rates for HCPCS L5925

Addition Endoskeletal System Above Knee Knee Disarticulation Or Hip Disarticulation Manual Lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.61 / $199.61 / $199.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.10 / $214.96 / $416.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.77 / $815.07 / $3,469.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.50 / $306.50 / $306.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.88 / $260.88 / $587.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.44 / $260.88 / $467.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.58 / $506.58 / $618.40
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
$524.28 / $524.28 / $524.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.77 / $303.97 / $319.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.50 / $201.20 / $356.27