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Illinois rates for HCPCS L3500

Orthopedic shoe addition, insole, leather

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.11 / $18.11 / $18.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.16 / $18.11 / $28.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.34 / $69.94 / $303.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.88 / $26.77 / $26.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $23.58 / $38.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $23.58 / $40.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.71 / $40.99 / $50.15
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
$45.80 / $45.80 / $45.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.63 / $15.57 / $35.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.09 / $17.57 / $30.17