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Illinois rates for HCPCS E2222

Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.14 / $25.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $17.38 / $30.20
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.75 / $3.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $20.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $9.33 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $13.80 / $22.91