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Illinois rates for HCPCS E1233

Wheelchair Pediatric Size Tilt-N-Space Rigid Adjustable Without Seating System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.81 / $1,767.90 / $2,439.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.18 / $278.61 / $278.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $2,560.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.74 / $1,406.76 / $3,588.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $387.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.79 / $348.27 / $2,127.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.76 / $1,353.72 / $2,437.30