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Illinois rates for HCPCS 97760

Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes

Facilitymedian $79 · 10th–90th $40–$3160%5%10%10th90th$79Professionalmedian $40 · 10th–90th $23–$680%10%10th90th$40$20.0$50.0$100.0$200.0$500.0

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
$39.81 / $79.43 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $33.88 / $70.79
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $89.13 / $398.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $47.86 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $64.57 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $48.98 / $83.18
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $64.57 / $117.49
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $57.54 / $61.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $51.29 / $66.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $44.67 / $79.43