go back

Illinois rates for HCPCS L4398

Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $47.86 / $91.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $102.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $181.97 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $70.79 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $107.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $128.82 / $165.96
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
$120.23 / $120.23 / $120.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $57.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $74.13 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $46.77 / $69.18