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Illinois rates for HCPCS E1004

Wheelchair Accessory Power Seating System Recline Only With Mechanical Shear Reduction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,869.76 / $3,299.58 / $4,644.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.41 / $435.41 / $435.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $3,282.89 / $5,616.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.23 / $3,282.89 / $6,731.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $852.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.12 / $870.81 / $4,675.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,390.10 / $3,036.32 / $5,271.81