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Illinois rates for HCPCS E1083

Hemi-Wheelchair Fixed Full Length Arms Swing Away Detachable Elevating Leg Rest (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.01 / $622.29 / $866.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.00 / $910.00 / $910.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.52 / $766.82 / $1,354.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $137.80 / $200.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.77 / $123.77 / $165.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.93 / $467.45 / $759.08