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Illinois rates for HCPCS E2214

Manual Wheelchair Accessory Pneumatic Caster Tire Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.41 / $22.93 / $37.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $2.98 / $2.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.90 / $25.90 / $46.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $26.68 / $45.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.97 / $6.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.38 / $29.38 / $29.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.78 / $20.30 / $37.18