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Illinois rates for HCPCS L0452

Tlso Flexible Provides Trunk Support Upper Thoracic Region Produces Intracavitary Pressure To Reduce Load On The Intevertebral Disks With Rigid S Tays Or Panel(S) Includes Shoulder Straps And Closures Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $140.00 / $140.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.00 / $140.00 / $140.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.29 / $223.29 / $223.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.00 / $163.00 / $223.29
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $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
$40.00 / $224.26 / $261.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.21 / $170.65 / $298.64