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Illinois rates for HCPCS L1652

Hip Orthosis Bilateral Thigh Cuffs With Adjustable Abductor Spreader Bar Adult Size Prefabricated Includes Fitting And Adjustment Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.75 / $220.75 / $220.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.52 / $220.75 / $343.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.57 / $868.87 / $3,695.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.82 / $326.42 / $326.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.01 / $252.01 / $470.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.97 / $252.01 / $498.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.93 / $472.45 / $558.04
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
$558.35 / $558.35 / $558.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.60 / $323.72 / $339.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.51 / $214.27 / $379.41