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Illinois rates for HCPCS L3455

Heel, new leather, standard

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $25.12 / $43.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $95.50 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $37.15 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $53.70
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $56.23 / $72.44
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
$63.10 / $63.10 / $63.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $37.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $38.90 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $24.55 / $38.02