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Illinois rates for HCPCS L8485

Prosthetic Sock Single Ply Fitting Upper Limb Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.36 / $7.36 / $7.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $7.36 / $11.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.48 / $29.59 / $127.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $11.30 / $11.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.63 / $9.63 / $19.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $9.63 / $17.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.39 / $15.28 / $20.58
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
$19.32 / $19.32 / $19.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $8.57 / $8.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.55 / $7.42 / $14.25