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Illinois rates for HCPCS L5930

Addition, endoskeletal system, high activity knee control frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,011.15 / $2,011.15 / $2,011.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,771.11 / $2,024.86 / $3,333.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,855.85 / $8,215.26 / $34,962.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,088.18 / $3,088.18 / $3,088.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.71 / $2,282.71 / $4,443.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.39 / $1,666.39 / $4,757.85
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,453.88 / $4,363.54 / $5,586.62
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
$5,282.41 / $5,282.41 / $5,282.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,476.15 / $3,537.37 / $3,714.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,982.23 / $1,982.23 / $1,982.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,629.72 / $2,027.18 / $3,589.58