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Illinois rates for HCPCS L5973

Endoskeletal Ankle Foot System, Microprocessor Controlled Featu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,548.87 / $10,548.87 / $10,548.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,212.11 / $10,548.87 / $17,411.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,400.00 / $102,626.29 / $223,840.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,198.07 / $16,198.07 / $16,198.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,752.32 / $12,752.32 / $23,229.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,309.19 / $12,752.32 / $24,708.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,181.93 / $24,510.24 / $29,838.55
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
$27,707.23 / $27,707.23 / $27,707.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,987.96 / $18,554.23 / $19,481.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,114.51 / $10,632.95 / $18,253.23