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Illinois rates for HCPCS L2627

Addition To Lower Extremity Pelvic Control Plastic Molded To Patient Model Reciprocating Hip Joint And Cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,323.54 / $1,323.54 / $1,323.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.79 / $1,323.54 / $1,691.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,076.65 / $5,205.14 / $22,156.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.79 / $1,957.06 / $1,957.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.80 / $1,206.80 / $2,124.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.96 / $1,206.80 / $2,985.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,931.31 / $2,575.08 / $3,090.10
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
$3,347.60 / $3,347.60 / $3,347.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.59 / $1,940.85 / $2,037.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.57 / $1,244.58 / $2,205.36