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Illinois rates for HCPCS L1260

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.41 / $58.41 / $58.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.78 / $58.41 / $79.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.23 / $85.23 / $85.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.15 / $228.65 / $977.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.37 / $86.37 / $86.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.02 / $71.02 / $93.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $71.02 / $131.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.91 / $117.40 / $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
$147.72 / $147.72 / $147.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.95 / $85.65 / $89.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.61 / $54.92 / $94.49