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Illinois rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $363.08 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $489.78 / $691.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,348.96 / $4,786.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $707.95
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $977.24
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
$891.25 / $891.25 / $891.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $549.54 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $346.74 / $512.86