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Illinois rates for HCPCS L1020

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad

Facilitymedian $148 · 10th–90th $66$6760%20%10th90th$148Professionalmedian $66 · 10th–90th $45$1320%20%10th90th$66$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$64.57
Typical High
$112.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$251.19
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$97.72
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$125.89
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$128.82
Typical High
$173.78
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$107.15
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$64.57
Typical High
$87.10