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Illinois rates for HCPCS L2375

Addition to lower extremity, torsion control, ankle joint and half solid stirrup

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.20 / $76.20 / $76.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $76.20 / $111.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.49 / $298.58 / $1,275.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.45 / $112.67 / $112.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.52 / $104.21 / $151.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.06 / $76.06 / $173.47
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.77 / $140.96 / $183.83
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
$192.73 / $192.73 / $192.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.21 / $111.74 / $117.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.92 / $73.95 / $129.87