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Illinois rates for HCPCS L2265

Addition to lower extremity, long tongue stirrup

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.25 / $83.25 / $83.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.74 / $83.25 / $116.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.98 / $328.18 / $1,393.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.56 / $123.10 / $123.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.22 / $106.22 / $148.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.54 / $106.22 / $187.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.97 / $172.57 / $201.39
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
$210.56 / $210.56 / $210.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.45 / $122.08 / $128.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.98 / $65.59 / $75.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.16 / $80.08 / $141.88