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Illinois rates for HCPCS L2500

Addition to lower extremity, thigh/weight bearing, gluteal/ischial weight bearing, ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $194.98 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $724.44 / $2,630.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $288.40 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $389.05
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $398.11 / $489.78
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
$489.78 / $489.78 / $489.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $302.00 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $186.21 / $295.12