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Illinois rates for HCPCS L3225

Orthopedic Footwear Mans Shoe Oxford Used As An Integral Part Of A Brace (Orthosis) (Special Coverage Instructions Apply. See Mcm: 2323d)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.70 / $45.71 / $66.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.53 / $180.23 / $765.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.46 / $67.58 / $67.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $54.54 / $103.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $54.54 / $103.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.02 / $100.00 / $122.27
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
$115.60 / $115.60 / $115.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.92 / $67.03 / $70.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.69 / $44.36 / $74.28