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Illinois rates for HCPCS E0955

Wheelchair Accessory Headrest Cushioned Any Type Including Fixed Mounting Hardware Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.58 / $109.98 / $148.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.82 / $127.82 / $127.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $15.95 / $15.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.12 / $129.12 / $168.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $129.12 / $202.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.68 / $100.00 / $200.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.94 / $26.58 / $194.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.59 / $116.00 / $195.73