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Illinois rates for HCPCS L2200

Addition to lower extremity, limited ankle motion, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.11 / $31.11 / $102.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.39 / $31.11 / $48.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.14 / $123.74 / $520.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.20 / $46.01 / $46.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.15 / $39.15 / $58.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $39.15 / $70.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.56 / $69.26 / $90.15
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
$78.70 / $78.70 / $78.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.94 / $45.63 / $47.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.23 / $51.23 / $51.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.27 / $30.20 / $50.56