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Illinois rates for HCPCS L3510

Orthopedic Shoe Addition Insole Rubber (Special Coverage Instructions Apply. See Mcm: 2323)

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
$21.16 / $26.77 / $26.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.27 / $24.27 / $38.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.72 / $24.27 / $40.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.22 / $44.52 / $53.40
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
Professional
Modifier
Low / Median / High Price
$13.09 / $17.57 / $36.61