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Illinois rates for HCPCS L5979

All Lower Extremity Prosthesis Multi-Axial Ankle Dynamic Response Foot One Piece System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,489.74 / $1,489.74 / $1,489.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.16 / $1,489.74 / $2,467.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,596.58 / $6,084.78 / $25,897.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,287.53 / $2,287.53 / $2,287.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,711.28 / $1,711.28 / $4,016.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.23 / $1,711.28 / $3,489.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,558.42 / $3,142.69 / $3,983.05
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
$3,912.88 / $3,912.88 / $3,912.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,834.19 / $2,620.28 / $2,751.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.74 / $1,501.61 / $2,829.67