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Illinois rates for HCPCS L8430

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $14.11 / $14.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.87 / $14.16 / $23.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.39 / $56.49 / $245.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.17 / $21.68 / $21.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $18.44 / $32.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.46 / $18.44 / $33.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.59 / $33.26 / $42.90
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
$37.08 / $37.08 / $37.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $16.44 / $17.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $14.23 / $25.19