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Illinois rates for HCPCS L3224

Orthopedic footwear, woman's shoe, Oxford, used as an integral part of a brace (orthosis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.84 / $41.84 / $41.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $41.84 / $58.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.99 / $164.09 / $700.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.53 / $61.87 / $61.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.67 / $55.83 / $89.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.76 / $40.76 / $95.45
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.22 / $89.17 / $113.97
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
$105.83 / $105.83 / $105.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $61.37 / $64.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.38 / $40.40 / $69.72