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Illinois rates for HCPCS E1235

Wheelchair, pediatric size, rigid, adjustable, with seating system

Facilitymedian $741 · 10th–90th $87–$1,7380%10%10th90th$741Professionalmedian $1,479 · 10th–90th $195–$1,9950%20%10th90th$1,479$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,288.25 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,479.11 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $1,445.44 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $1,230.27 / $2,630.27
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $199.53 / $323.59
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $1,778.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $660.69 / $1,445.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,174.90 / $2,089.30