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Illinois rates for HCPCS L3216

Orthopedic Footwear Ladies Shoe Depth Inlay Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.23 / $44.23 / $44.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.77 / $44.23 / $69.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.80 / $525.83 / $3,422.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.00 / $256.00 / $256.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $47.13 / $47.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $47.13 / $114.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.49 / $132.51 / $147.83
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
$40.00 / $68.73 / $80.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.23 / $52.64 / $90.84