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Illinois rates for HCPCS L1910

Ankle Foot Orthosis Posterior Single Bar Clasp Attachment To Shoe Counter Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.67 / $173.67 / $173.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.18 / $173.67 / $270.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.86 / $683.26 / $2,907.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.78 / $256.80 / $256.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.57 / $218.57 / $331.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.56 / $218.57 / $391.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.20 / $384.74 / $476.91
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
$439.26 / $439.26 / $439.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.26 / $254.67 / $267.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.26 / $168.57 / $289.38