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Illinois rates for HCPCS E2293

Back Contoured For Pediatric Size Wheelchair Including Fixed Attaching Hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.99 / $412.99 / $412.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $296.00 / $296.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.60 / $251.60 / $296.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.10 / $902.03 / $1,037.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00