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Illinois rates for HCPCS L5987

All Lower Extremity Prosthesis Shank Foot System With Vertical Loading Pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,298.30 / $4,298.30 / $8,684.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,785.25 / $4,298.30 / $7,125.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,376.34 / $17,554.93 / $74,722.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,600.15 / $6,600.15 / $6,600.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,042.00 / $6,042.00 / $9,505.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,410.66 / $6,042.00 / $10,068.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,381.75 / $9,987.07 / $12,158.17
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
$11,289.73 / $11,289.73 / $11,289.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,292.14 / $7,560.21 / $7,938.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,460.91 / $4,332.56 / $7,437.57