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Illinois rates for HCPCS L3265

Plastazote Sandal, Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.56 / $7.56 / $36.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $7.56 / $12.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.00 / $90.30 / $528.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.65 / $28.65 / $28.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.38 / $20.91 / $28.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.66 / $37.50 / $44.46
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
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $9.00 / $15.60