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Illinois rates for HCPCS E2219

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $30.20 / $43.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $31.62 / $60.26
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $5.13 / $7.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $18.62 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $26.30 / $44.67