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Illinois rates for HCPCS L3660

Shoulder Orthosis Figure Of Eight Design Abduction Restrainer Canvas And Webbing Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.24 / $58.24 / $58.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $58.24 / $90.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.98 / $84.98 / $106.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.15 / $228.65 / $974.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.03 / $86.12 / $86.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.80 / $70.80 / $156.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $51.68 / $139.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.22 / $127.34 / $163.72
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
$147.30 / $147.30 / $147.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.83 / $56.53 / $100.09