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Illinois rates for HCPCS E0304

Hospital Bed Extra Heavy Duty Extra Wide With Weight Capacity Greater Than 600 Pounds With Any Type Siderails With Mattress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,838.56 / $3,838.56 / $3,838.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,842.80 / $3,838.56 / $5,389.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,639.90 / $50,566.64 / $101,259.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.33 / $444.44 / $444.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.50 / $422.50 / $5,399.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.50 / $4,550.34 / $8,385.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $1,348.67
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.64 / $666.66 / $4,017.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,393.83 / $3,281.53 / $5,385.38