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Illinois rates for HCPCS E2214

Manual wheelchair accessory, pneumatic caster tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $21.88 / $37.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $25.70 / $44.67
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.98 / $6.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $15.49 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $20.42 / $36.31