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Illinois rates for HCPCS L8400

Prosthetic Sheath Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.35 / $9.35 / $18.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.93 / $10.07 / $17.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.26 / $37.65 / $162.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.02 / $14.36 / $14.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $14.44 / $24.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $14.44 / $21.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.89 / $24.10 / $30.63
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
$24.56 / $24.56 / $24.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $10.90 / $11.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $9.43 / $19.64