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Illinois rates for HCPCS L3020

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.87 / $122.87 / $239.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.42 / $128.25 / $340.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.29 / $179.29 / $179.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.87 / $656.36 / $2,056.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.08 / $181.68 / $181.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.55 / $152.55 / $261.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.36 / $152.55 / $277.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.48 / $249.53 / $349.15
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
$310.77 / $310.77 / $310.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.86 / $222.67 / $233.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.78 / $119.26 / $211.17