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Illinois rates for HCPCS L2188

Addition to lower extremity fracture orthosis, quadrilateral brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $190.55 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $660.69 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $371.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $371.54 / $467.74
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
$436.52 / $436.52 / $436.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $269.15 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $169.82 / $281.84