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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
$83.18 / $83.18 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $83.18 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $316.23 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $123.03 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $165.96
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $165.96 / $229.09
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
$208.93 / $208.93 / $208.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $123.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $128.82 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $81.28 / $114.82