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
$79.43 / $81.28 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $83.18 / $204.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $117.49 / $158.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $302.00 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $120.23 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $181.97
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $190.55 / $223.87
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
$83.18 / $83.18 / $117.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $125.89 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $77.62 / $128.82