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Illinois rates for HCPCS E0959

Manual wheelchair accessory, adapter for amputee, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $28.84 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $26.30 / $60.26
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $5.13 / $7.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $19.95 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $25.70 / $44.67