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Illinois rates for HCPCS L1640

Hip orthosis (HO), 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
$295.12 / $295.12 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $295.12 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,096.48 / $3,890.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $436.52 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $645.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $602.56 / $741.31
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
$741.31 / $741.31 / $741.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $457.09 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $281.84 / $446.68