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Illinois rates for HCPCS L8420

Prosthetic Sock Multiple Ply Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.46 / $12.46 / $12.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $12.88 / $20.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $18.00 / $18.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.21 / $51.11 / $216.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.69 / $19.14 / $19.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.29 / $16.29 / $28.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $29.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.92 / $31.24 / $38.54
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
$32.72 / $32.72 / $32.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.17 / $14.54 / $15.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.18 / $37.34 / $69.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.02 / $12.56 / $26.18