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Illinois rates for HCPCS L1000

Cervical-Thoracic-Lumbar-Sacral Orthosis (Ctlso) (Milwaukee) Inclusive Of Furnishing Initial Orthosis Including Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.75 / $1,255.75 / $1,255.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.36 / $1,255.75 / $1,954.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,919.24 / $4,938.84 / $21,021.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.57 / $1,856.82 / $1,856.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.97 / $1,499.97 / $2,631.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.98 / $1,499.97 / $2,832.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.20 / $2,614.34 / $3,195.04
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
$3,176.13 / $3,176.13 / $3,176.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.24 / $1,970.35 / $2,068.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.18 / $1,218.88 / $2,092.41