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Illinois rates for HCPCS L3630

Transfer Of An Orthosis From One Shoe To Another Solid Stirrup New (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.22 / $62.22 / $62.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.63 / $62.22 / $81.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.69 / $244.79 / $1,041.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.03 / $92.01 / $92.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $132.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $67.56 / $140.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.75 / $133.77 / $168.47
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
$157.38 / $157.38 / $157.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.77 / $105.39 / $110.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $60.40 / $106.94