go back

Illinois rates for HCPCS E1815

Dynamic Adjustable Ankle Extension/Flexion Device Includes Soft Interface Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.18 / $1,008.18 / $1,008.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.29 / $1,008.18 / $1,344.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,208.92 / $13,281.12 / $26,595.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.53 / $132.41 / $132.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.82 / $99.82 / $99.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.85 / $99.82 / $2,047.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $164.16 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.70 / $194.64 / $1,195.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $88.07 / $403.70