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Illinois rates for HCPCS E1171

Amputee wheelchair, fixed full-length arms, without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $691.83 / $1,202.26
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $199.53 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $275.42 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $489.78 / $758.58