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Illinois rates for HCPCS E1222

Wheelchair with fixed arm, elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.44 / $540.78 / $746.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.16 / $71.02 / $71.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.07 / $783.07 / $783.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $659.87 / $1,335.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $118.63 / $200.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.53 / $106.53 / $142.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.47 / $398.43 / $653.29