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Illinois rates for HCPCS L2650

Addition To Lower Extremity Pelvic And Thoracic Control Gluteal Pad Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.69 / $85.69 / $85.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $85.69 / $121.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.75 / $336.25 / $1,434.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.02 / $126.71 / $126.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.94 / $112.36 / $183.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.02 / $112.36 / $193.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.35 / $166.87 / $206.75
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
$216.75 / $216.75 / $216.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.96 / $125.66 / $131.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.21 / $82.43 / $147.28