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Illinois rates for HCPCS L3520

Orthopedic shoe addition, insole, felt covered with leather

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.05 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $74.13 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $44.67
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $50.12 / $61.66
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
$50.12 / $50.12 / $50.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $28.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $30.90 / $56.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $19.05 / $29.51