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Illinois rates for HCPCS L2640

Addition To Lower Extremity Pelvic Control Band And Belt Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.59 / $194.59 / $378.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.39 / $198.19 / $318.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.15 / $766.65 / $3,257.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.41 / $287.73 / $287.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.57 / $236.57 / $416.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $236.56 / $438.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.80 / $466.65 / $591.75
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
$492.17 / $492.17 / $492.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.75 / $285.36 / $299.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.49 / $188.88 / $334.45