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Illinois rates for HCPCS L2128

Knee Ankle Foot Orthosis Fracture Orthosis Femoral Fracture Cast Orthosis Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$992.91 / $992.91 / $992.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.07 / $992.91 / $1,545.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,308.67 / $3,905.88 / $16,621.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.10 / $1,468.17 / $1,468.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.09 / $1,207.09 / $2,124.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.18 / $1,207.09 / $2,239.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.93 / $2,124.98 / $2,524.00
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
$2,511.34 / $2,511.34 / $2,511.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.55 / $1,557.94 / $1,635.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.13 / $963.76 / $1,659.43