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Illinois rates for HCPCS L1945

Ankle Foot Orthosis Plastic Rigid Anterior Tibial Section (Floor Reaction) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.13 / $695.13 / $695.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.85 / $695.13 / $997.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.44 / $2,733.04 / $11,636.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.97 / $1,027.84 / $1,027.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.23 / $769.23 / $1,147.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.54 / $769.23 / $1,567.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.86 / $1,352.44 / $1,655.11
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
$1,758.17 / $1,758.17 / $1,758.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.48 / $1,090.69 / $1,145.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.57 / $646.54 / $1,184.70