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Illinois rates for HCPCS E2215

Manual Wheelchair Accessory Tube For Pneumatic Ca Ster Tire Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.11 / $7.21 / $11.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $14.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $8.00 / $14.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.25 / $1.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.22 / $9.22 / $9.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $6.25 / $10.73