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Illinois rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $22.91 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.08 / $12.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $151.36 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.89 / $28.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $37.15 / $44.67
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
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $8.71 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.91 / $15.49