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Illinois rates for HCPCS L3649

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.33 / $62.09 / $80.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $16.04 / $22.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00