go back

Illinois rates for HCPCS L2275

Addition To Lower Extremity Varus/Valgus Correction Plastic Modification Padded/Lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.72 / $80.72 / $547.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.16 / $84.35 / $125.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.79 / $117.79 / $117.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.62 / $317.42 / $1,351.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.19 / $119.36 / $119.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.60 / $102.60 / $197.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.90 / $102.60 / $182.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.74 / $189.11 / $221.91
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
$204.17 / $204.17 / $204.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.86 / $118.38 / $124.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.01 / $78.34 / $138.75