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Illinois rates for HCPCS L2192

Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $213.80 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $776.25 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $302.00 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $467.74
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $562.34
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
$524.81 / $524.81 / $524.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $323.59 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $199.53 / $338.84