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Illinois rates for HCPCS L1230

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.13 / $413.13 / $413.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.60 / $413.13 / $560.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.36 / $1,624.76 / $6,915.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.09 / $610.87 / $610.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.16 / $400.16 / $704.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $400.16 / $931.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.02 / $956.74 / $1,184.15
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
$1,044.91 / $1,044.91 / $1,044.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.07 / $605.82 / $636.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.78 / $1,024.66 / $1,904.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.25 / $383.12 / $668.33