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Illinois rates for HCPCS L1210

Addi To Thoracic-Lumbar-Sacral Orthotic (Tlso), (Low Profile), L

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.51 / $151.51 / $151.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.62 / $151.51 / $258.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.09 / $221.09 / $221.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.98 / $597.17 / $2,536.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.99 / $224.03 / $224.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.69 / $190.69 / $324.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.19 / $190.69 / $341.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.56 / $353.74 / $442.17
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
$383.21 / $383.21 / $383.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.52 / $222.18 / $233.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.15 / $147.07 / $258.22