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Illinois rates for HCPCS E1235

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,479.11 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $1,445.44 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $1,445.44 / $3,019.95
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $199.53 / $323.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $707.95 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,174.90 / $1,819.70