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Illinois rates for HCPCS L1940

Ankle-foot orthosis (AFO), plastic or other material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $741.31 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $316.23 / $602.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $446.68 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,148.15 / $4,073.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $446.68 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $676.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $645.65 / $831.76
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
$758.58 / $758.58 / $758.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $467.74 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $295.12 / $478.63