go back

Illinois rates for HCPCS L2830

Addition to lower extremity orthosis, soft interface for molded plastic, above knee section

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $54.95 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $56.23 / $107.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $204.17 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $81.28 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $117.49
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $128.82 / $162.18
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
$138.04 / $138.04 / $138.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $85.11 / $173.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $52.48 / $87.10