go back

Illinois rates for HCPCS L8410

Prosthetic sheath, above knee, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $13.18 / $25.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $48.98 / $169.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $19.05 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $16.60 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $28.18
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $31.62 / $39.81
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
$32.36 / $32.36 / $32.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $14.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $19.95 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $12.30 / $20.89