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Illinois rates for HCPCS L3030

Foot insert, removable, formed to patient foot, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.25 / $47.25 / $47.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.06 / $49.32 / $137.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.84 / $536.25 / $965.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.77 / $69.87 / $69.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $61.54 / $100.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.92 / $61.54 / $118.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.93 / $173.66 / $295.82
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
$119.51 / $119.51 / $119.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.09 / $51.90 / $77.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.15 / $45.65 / $80.53