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Illinois rates for HCPCS L1630

Hip Orthosis Abduction Control Of Hip Joints Semi-Flexible (Von Rosen Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.83 / $130.83 / $130.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.56 / $130.83 / $175.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.69 / $513.79 / $2,190.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.04 / $193.44 / $193.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.29 / $119.29 / $229.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.08 / $87.08 / $295.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.80 / $254.53 / $315.62
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
$330.89 / $330.89 / $330.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.68 / $205.27 / $215.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.37 / $120.84 / $217.99