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Illinois rates for HCPCS L1755

Legg Perthes Orthotic, (Patten Bottom Type), Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,108.81 / $1,108.81 / $1,108.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.16 / $1,108.81 / $1,561.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,577.39 / $4,360.49 / $18,561.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.53 / $1,395.53 / $2,007.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.74 / $1,018.74 / $2,500.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.74 / $2,157.30 / $2,654.89
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
$2,804.49 / $2,804.49 / $2,804.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.85 / $1,739.80 / $1,826.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.55 / $1,042.67 / $1,847.57