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Illinois rates for HCPCS E0966

Manual Wheelchair Accessory Headrest Extension Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.93 / $51.06 / $80.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.56 / $71.56 / $71.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $6.56 / $6.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $105.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $36.61 / $103.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.43 / $8.74 / $13.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.30 / $67.30 / $67.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.83 / $45.54 / $77.28