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Illinois rates for HCPCS E2220

Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.05 / $30.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.51 / $2.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $22.91 / $41.69
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.39 / $4.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $12.88 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $18.20 / $29.51