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Illinois rates for HCPCS L4392

Replacement Soft Interface Material Static Afo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.57 / $14.57 / $14.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.39 / $14.57 / $22.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.39 / $56.49 / $243.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.27 / $21.54 / $21.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $29.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $15.80 / $33.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.44 / $33.39 / $41.10
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
$36.84 / $36.84 / $36.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.51 / $14.14 / $24.28