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Illinois rates for HCPCS E1200

Amputee wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.41 / $694.26 / $925.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.67 / $91.18 / $91.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.73 / $746.73 / $1,005.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.22 / $746.73 / $1,196.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $129.63 / $200.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.77 / $136.77 / $182.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.54 / $511.68 / $838.97