go back

Illinois rates for HCPCS E0958

Wheelchair Accessr, Medial Thigh Support, Any Type, Includ F

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.83 / $301.26 / $396.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.88 / $37.88 / $37.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.00 / $238.50 / $474.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.73 / $238.50 / $615.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.68 / $100.00 / $200.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.82 / $75.75 / $418.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.52 / $148.91 / $269.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.94 / $199.10 / $341.81