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Illinois rates for HCPCS L5980

All lower extremity prostheses, flex-foot system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,269.75 / $2,269.75 / $2,269.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,987.32 / $2,347.01 / $3,865.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,479.14 / $9,269.74 / $39,457.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,485.26 / $3,485.26 / $3,923.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,780.72 / $2,780.72 / $5,448.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.93 / $2,780.72 / $5,316.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,897.99 / $5,273.75 / $6,420.22
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
$5,961.63 / $5,961.63 / $5,961.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,794.56 / $3,992.23 / $4,191.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,850.11 / $2,287.84 / $4,051.14