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Illinois rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.21 / $19.02 / $27.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.44 / $2.44 / $2.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.85 / $21.85 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $22.51 / $37.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $3.25 / $5.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.16 / $25.16 / $25.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.92 / $17.50 / $38.65