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Illinois rates for HCPCS L5962

Addition, endoskeletal system, below knee (BK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.18 / $349.18 / $349.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.05 / $360.04 / $666.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.70 / $1,425.70 / $6,070.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.16 / $536.16 / $536.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.56 / $448.56 / $1,034.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $448.56 / $817.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.52 / $838.01 / $1,002.02
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
$917.14 / $917.14 / $917.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.21 / $531.73 / $558.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.15 / $470.15 / $470.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.30 / $351.96 / $623.23