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Illinois rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.14 / $801.42 / $1,122.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.25 / $105.25 / $126.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $1,365.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.23 / $606.51 / $1,627.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $140.33 / $203.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.88 / $210.50 / $964.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.57 / $733.39 / $1,197.89