go back

Illinois rates for HCPCS E1100

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.34 / $828.24 / $1,104.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.36 / $999.36 / $1,199.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.16 / $999.36 / $1,428.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $181.67 / $200.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.16 / $163.16 / $217.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.18 / $617.48 / $1,526.06