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Illinois rates for HCPCS L3003

Foot insert, removable, molded to patient model, silicone gel, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $60.26 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $107.15 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $524.81 / $1,445.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $158.49 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $229.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $263.03 / $323.59
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
$275.42 / $275.42 / $275.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $169.82 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $104.71 / $162.18