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Illinois rates for HCPCS L2030

Knee Ankle Foot Orthosis Double Upright Free Ankle Solid Stirrup Thigh And Calf Bands/Cuffs (Double Bar Ak Orthosis) Without Knee Joint Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.79 / $670.79 / $670.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.08 / $670.79 / $1,029.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,559.79 / $2,638.89 / $11,229.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.21 / $991.87 / $991.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.15 / $713.15 / $1,337.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.60 / $713.14 / $1,513.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.99 / $1,370.34 / $1,678.97
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
$1,696.62 / $1,696.62 / $1,696.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.76 / $1,052.52 / $1,105.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.48 / $651.10 / $1,117.71