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Illinois rates for HCPCS L1700

Legg Perthes Orthotic, (Toronto Type), Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.48 / $963.48 / $963.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.36 / $963.48 / $1,499.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,240.31 / $3,790.21 / $16,129.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.63 / $1,212.63 / $2,071.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.22 / $1,212.63 / $2,173.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,556.52 / $2,008.61 / $2,454.77
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
$2,436.92 / $2,436.92 / $2,436.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.24 / $1,511.78 / $1,587.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.69 / $935.20 / $1,605.42