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Illinois rates for HCPCS L3649

Orthopedic shoe, modification, addition or transfer, not otherwise specified

Facilitymedian $10 · 10th–90th $9–$3890%20%10th90th$10Professionalmedian $15 · 10th–90th $6–$460%10%20%10th90th$15$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $15.14 / $33.88
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $199.53 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49