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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
$206.46 / $206.46 / $206.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.86 / $210.29 / $323.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.18 / $812.38 / $3,456.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.75 / $305.27 / $305.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.00 / $251.00 / $559.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.23 / $251.00 / $465.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.44 / $472.75 / $568.05
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
$522.20 / $522.20 / $522.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.93 / $302.76 / $317.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.78 / $345.78 / $345.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.00 / $200.40 / $345.06