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Illinois rates for HCPCS E2224

Manual Wheelchair Accessory Propulsion Wheel Excludes Tire Any Size Replacement Only Each (Desc Revised 01/01/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.97 / $63.02 / $101.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $8.21 / $8.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.04 / $73.04 / $142.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.08 / $75.23 / $132.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.30 / $10.94 / $16.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.05 / $80.05 / $80.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.52 / $43.87 / $82.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.15 / $55.51 / $102.87