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Illinois rates for HCPCS L5960

Addition Endoskeletal System Hip Disarticulation Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.07 / $691.07 / $691.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.05 / $694.94 / $1,001.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,667.91 / $2,821.81 / $12,013.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.16 / $1,061.16 / $1,061.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.44 / $930.44 / $1,411.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.22 / $930.44 / $1,618.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.08 / $1,434.44 / $1,815.14
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
$1,815.14 / $1,815.14 / $1,815.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.66 / $1,052.38 / $1,104.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.46 / $696.58 / $1,195.80