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Illinois rates for HCPCS E0967

Manual Wheelchair Accessory Hand Rim With Projections Any Type Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.55 / $50.38 / $80.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.59 / $6.59 / $6.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.33 / $44.33 / $99.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.68 / $69.03 / $127.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.47 / $8.78 / $13.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.08 / $63.08 / $63.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.24 / $43.67 / $81.06