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Illinois rates for HCPCS L8485

Prosthetic sock, single ply, fitting, upper limb, each

Facilitymedian $17 · 10th–90th $7–$760%20%10th90th$17Professionalmedian $8 · 10th–90th $5–$150%10%20%10th90th$8$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $28.18 / $102.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $11.22 / $11.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $17.38
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $15.14 / $20.42
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $8.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $12.02 / $21.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.41 / $12.30