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Illinois rates for HCPCS L3580

Orthopedic shoe addition, convert instep to Velcro closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $39.81 / $70.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $151.36 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $85.11
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $194.98 / $257.04
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
$102.33 / $102.33 / $102.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $58.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $63.10 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $38.90 / $60.26