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Illinois rates for HCPCS L1240

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.32 / $56.32 / $56.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.15 / $56.32 / $81.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.19 / $82.19 / $82.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.38 / $220.58 / $942.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.46 / $83.28 / $83.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.81 / $62.81 / $96.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $62.81 / $127.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.77 / $120.54 / $150.00
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
$142.44 / $142.44 / $142.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.82 / $82.60 / $86.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.36 / $52.96 / $96.80