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Illinois rates for HCPCS 29505

Application Long Leg Splint Thigh Ankle/Toes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.59 / $235.16 / $563.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.78 / $79.16 / $153.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.38 / $264.81 / $802.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.96 / $107.96 / $183.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.52 / $126.52 / $141.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.91 / $91.94 / $162.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.65 / $134.97 / $318.88
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
$62.62 / $66.86 / $126.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $146.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $891.00 / $3,685.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.45 / $100.69 / $179.55