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Illinois rates for HCPCS E2204

Manual Wheelchair Accessory Nonstandard Seat Frame Depth 22 To 25 Inches

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.45 / $549.98 / $876.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $68.56 / $68.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.42 / $581.42 / $1,151.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.22 / $598.87 / $1,038.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.70 / $91.41 / $113.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.15 / $781.15 / $781.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.85 / $504.86 / $880.69