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Illinois rates for HCPCS L1610

Hip Orthosis Abduction Control Of Hip Joints Flexible (Frejka Cover Only) Prefabricated Item That Has Been Trimmed Bent Molded Assembled Orotherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.90 / $33.90 / $33.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.35 / $33.90 / $43.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.50 / $134.50 / $567.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.84 / $50.11 / $50.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.91 / $30.91 / $64.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.56 / $30.91 / $76.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.35 / $81.77 / $100.12
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
$85.72 / $85.72 / $85.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.22 / $53.18 / $55.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.56 / $31.87 / $56.47