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Illinois rates for HCPCS E2217

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.74 / $30.10 / $54.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $3.85 / $3.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $31.91 / $61.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.12 / $31.91 / $60.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $5.13 / $7.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.64 / $38.64 / $38.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.43 / $27.13 / $45.21