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Illinois rates for HCPCS E2205

Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $23.99 / $38.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $26.92 / $48.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $4.27 / $6.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $14.45 / $34.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $21.38 / $36.31