go back

Illinois rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $31.62 / $54.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $117.49 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $46.77 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $67.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $75.86 / $93.33
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
$79.43 / $79.43 / $79.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $45.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $48.98 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $30.90 / $46.77