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Illinois rates for HCPCS L0974

Thoracic-lumbar-sacral orthosis (TLSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $114.82 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $407.38 / $1,445.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $158.49 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $234.42
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $288.40 / $371.54
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
$275.42 / $275.42 / $275.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $120.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $169.82 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $104.71 / $165.96