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Illinois rates for HCPCS L3214

Benesch Boot Pair Junior (Special Coverage Instructions Apply. See Mcm: 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.73 / $28.73 / $28.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.84 / $28.73 / $44.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.00 / $367.00 / $1,337.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.68 / $49.68 / $49.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $42.26 / $57.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.20 / $108.57 / $119.19
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.21 / $65.85 / $76.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.43 / $34.20 / $59.23