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Illinois rates for HCPCS L4350

Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.00 / $66.64 / $154.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.16 / $60.49 / $106.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.91 / $236.72 / $1,003.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $88.59 / $88.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.22 / $68.22 / $110.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $68.22 / $135.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.16 / $117.76 / $171.98
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
$151.54 / $151.54 / $151.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.68 / $30.98 / $32.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.87 / $58.16 / $99.85