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Illinois rates for HCPCS E1234

Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.53 / $1,539.18 / $2,124.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.14 / $242.57 / $242.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $2,229.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.01 / $1,208.78 / $3,123.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $337.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.25 / $303.20 / $1,852.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.68 / $1,178.46 / $2,023.02