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Illinois rates for HCPCS L4045

Replace Non-Molded Thigh Laser For Custom Fabricated Orthosis Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.95 / $189.95 / $189.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.83 / $189.95 / $295.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.02 / $747.82 / $3,179.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.92 / $230.92 / $437.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.57 / $230.92 / $428.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.12 / $528.19 / $695.96
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
$480.42 / $480.42 / $480.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.62 / $298.04 / $312.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.75 / $184.37 / $317.45