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Illinois rates for HCPCS L3540

Orthopedic Shoe Addition Sole Full (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.50 / $31.50 / $31.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.63 / $31.50 / $49.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.14 / $123.74 / $527.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.50 / $46.58 / $46.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $67.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $36.72 / $70.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.71 / $75.83 / $91.94
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
$79.68 / $79.68 / $79.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $46.20 / $48.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.77 / $30.58 / $63.70