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Illinois rates for HCPCS E1200

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $691.83 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $91.20 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $741.31 / $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
$42.66 / $295.12 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $524.81 / $831.76