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Illinois rates for HCPCS L1300

Other Scoliosis Procedure, Body Jacket Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.30 / $1,067.30 / $5,216.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.88 / $1,087.06 / $1,272.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.41 / $1,557.41 / $1,557.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,481.98 / $4,199.09 / $17,866.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,378.95 / $1,578.17 / $1,578.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.46 / $1,277.46 / $2,228.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.55 / $1,277.46 / $2,407.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,765.06 / $2,369.40 / $2,937.00
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
$2,699.50 / $2,699.50 / $2,699.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.57 / $1,565.11 / $1,643.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.38 / $1,035.97 / $1,778.41