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Illinois rates for HCPCS L1640

Hip Orthosis Abduction Control Of Hip Joints Static Pelvic Band Or Spreader Bar Thigh Cuffs Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.16 / $293.16 / $293.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.15 / $293.16 / $456.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.11 / $1,154.01 / $4,907.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.77 / $433.49 / $433.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.04 / $379.04 / $645.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.70 / $276.70 / $667.74
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.60 / $602.30 / $736.10
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
$741.49 / $741.49 / $741.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.99 / $459.99 / $482.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.82 / $259.82 / $259.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.86 / $284.55 / $503.86