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Illinois rates for HCPCS L4205

Repair Of Orthotic Device Labor Component Per 15 Minutes (Special Coverage Instructions Apply. See Mcm: 2100.4)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.31 / $15.31 / $29.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $14.55 / $22.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.48 / $276.00 / $494.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.23 / $22.14 / $22.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.84 / $22.22 / $29.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $22.22 / $26.12
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.13 / $38.95 / $46.72
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
$37.86 / $37.86 / $37.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.51 / $14.24 / $25.05