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Illinois rates for HCPCS L4080

Replace Metal Bands Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.52 / $61.52 / $61.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.89 / $61.52 / $95.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.10 / $242.10 / $1,029.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.34 / $84.33 / $151.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $84.33 / $138.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.28 / $142.10 / $173.57
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
$155.61 / $155.61 / $155.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.15 / $90.22 / $94.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.57 / $59.71 / $105.73