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Illinois rates for HCPCS L3520

Orthopedic Shoe Addition Insole Felt Covered With Leather (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.69 / $19.69 / $19.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.37 / $19.69 / $30.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.11 / $78.01 / $329.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $41.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $21.38 / $44.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.31 / $49.99 / $60.07
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
$49.80 / $49.80 / $49.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.21 / $28.88 / $30.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.22 / $19.02 / $33.84