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Illinois rates for HCPCS L8330

Truss Addition To Standard Pad Scrotal Pad (Special Coverage Instructions Apply. See Cim: 70-1 70-2 And Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.33 / $29.33 / $29.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.46 / $31.58 / $49.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.55 / $121.05 / $509.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.03 / $45.03 / $45.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.03 / $37.03 / $65.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.03 / $37.03 / $68.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.25 / $81.97 / $100.07
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
$77.03 / $77.03 / $77.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.26 / $44.67 / $46.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.64 / $29.56 / $50.75