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Illinois rates for HCPCS L3590

Orthopedic Shoe Addition Convert Firm Shoe Counter To Soft Counter (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.09 / $33.09 / $33.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.85 / $33.09 / $51.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.31 / $129.12 / $553.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.36 / $38.36 / $70.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $38.36 / $74.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.37 / $86.65 / $103.97
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
$83.68 / $83.68 / $83.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $48.51 / $50.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.91 / $31.96 / $55.13