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Illinois rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $44.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $44.94 / $74.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.12 / $182.92 / $781.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.39 / $69.01 / $69.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $50.66 / $99.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $50.66 / $105.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.26 / $103.77 / $131.66
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
$118.04 / $118.04 / $118.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.57 / $45.29 / $80.20