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Illinois rates for HCPCS E1840

Dynamic adjustable shoulder flexion/abduction/rotation device, includes soft interface material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $3,019.95 / $4,168.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $39,810.72 / $77,624.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $5,248.07
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $346.74 / $588.84
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
$251.19 / $363.08 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $426.58 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $269.15 / $1,862.09