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Illinois rates for HCPCS E1221

Wheelchair with fixed arm, footrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $380.19 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $50.12 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $407.38 / $645.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $199.53 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $162.18 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $281.84 / $446.68