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Illinois rates for HCPCS E1223

Wheelchair With Detachable Arms Footrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.66 / $590.58 / $814.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.86 / $77.56 / $77.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.72 / $422.72 / $855.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.31 / $422.72 / $1,326.56
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $122.31 / $200.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.34 / $116.34 / $155.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.47 / $435.24 / $713.64