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Illinois rates for HCPCS L5978

All lower extremity prostheses, foot, multiaxial ankle/foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.06 / $186.06 / $186.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.41 / $193.15 / $356.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.97 / $761.27 / $3,234.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.19 / $243.19 / $513.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.53 / $243.19 / $435.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.40 / $468.45 / $573.50
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
$488.70 / $488.70 / $488.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.21 / $303.17 / $318.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.57 / $187.54 / $332.08