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Illinois rates for HCPCS E2216

Manual wheelchair accessory, foam filled propulsion tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $33.88 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $4.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $36.31 / $67.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $5.75 / $8.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $20.89 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $30.90 / $51.29