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Illinois rates for HCPCS L2126

Knee Ankle Foot Orthosis Fracture Orthosis Femoral Fracture Cast Orthosis Thermoplastic Type Casting Material Custom- Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.74 / $790.74 / $790.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.48 / $790.74 / $1,181.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,838.04 / $3,109.64 / $13,237.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.89 / $1,169.24 / $1,169.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.96 / $842.96 / $1,483.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.36 / $842.96 / $1,783.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.78 / $1,592.35 / $1,960.04
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
$2,000.01 / $2,000.01 / $2,000.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.51 / $1,240.73 / $1,302.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.86 / $767.53 / $1,317.59