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Illinois rates for HCPCS E1237

Wheelchair, pediatric size, rigid, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,318.26 / $1,778.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $208.93 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $1,071.52 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $1,071.52 / $2,691.53
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $199.53 / $288.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $630.96 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,047.13 / $1,621.81