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Illinois rates for HCPCS L3001

Foot, insert, removable, molded to patient model, Spenco, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.91 / $81.91 / $81.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.01 / $81.91 / $107.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.58 / $439.20 / $1,371.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.72 / $121.12 / $121.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.96 / $88.96 / $174.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.94 / $88.96 / $184.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.72 / $176.10 / $214.85
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
$207.18 / $207.18 / $207.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.08 / $89.97 / $134.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.19 / $79.51 / $136.49