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Illinois rates for HCPCS L3400

Metatarsal Bar Wedge Rocker (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.21 / $25.21 / $25.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.70 / $25.21 / $39.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.83 / $99.53 / $421.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.61 / $37.27 / $37.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.72 / $33.72 / $53.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.62 / $33.72 / $57.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.55 / $57.05 / $71.65
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
$63.75 / $63.75 / $63.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.87 / $36.97 / $38.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.04 / $70.09 / $130.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.22 / $24.47 / $45.89