go back

Illinois rates for HCPCS L2768

Orthotic side bar disconnect device, per bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.68 / $80.68 / $156.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.05 / $80.68 / $125.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.62 / $317.42 / $1,350.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.17 / $119.30 / $119.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.06 / $99.06 / $171.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $99.06 / $181.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.27 / $180.30 / $219.76
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
$204.06 / $204.06 / $204.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.66 / $136.66 / $143.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.30 / $78.31 / $138.66