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Illinois rates for HCPCS L3010

Foot Insert Removable Molded To Patient Model Longitudinal Arch Support Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.89 / $208.50 / $658.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.35 / $109.38 / $179.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.08 / $157.43 / $157.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.95 / $578.28 / $1,806.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.29 / $159.53 / $159.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.54 / $140.54 / $229.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.59 / $102.59 / $271.62
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.16 / $268.00 / $324.27
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
$272.88 / $272.88 / $272.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.24 / $118.50 / $177.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.98 / $104.72 / $183.88