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Illinois rates for HCPCS L1220

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), anterior thoracic extension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $147.91 / $295.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $562.34 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $218.78 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $288.40
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $338.84 / $416.87
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
$371.54 / $371.54 / $371.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $229.09 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $144.54 / $213.80