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Illinois rates for HCPCS L2750

Addition to lower extremity orthosis, plating chrome or nickel, per bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $52.48 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $181.97 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $70.79 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $109.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $109.65 / $134.90
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
$123.03 / $123.03 / $123.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $75.86 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $46.77 / $77.62