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Illinois rates for HCPCS E0953

Wheelchair Accessory Lateral Thigh Or Knee Support Any Type Including Fixed Mounting Hardware Each (Reinstated Code) Old Description: Pneumatic Tire Each (Not Valid For Medicare) (Deleted 12/31/05)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.93 / $57.11 / $93.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.10 / $7.10 / $7.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.23 / $64.23 / $120.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $72.72 / $138.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $9.47 / $14.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.45 / $69.45 / $69.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.97 / $57.37 / $95.48