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Illinois rates for HCPCS E2368

Power Wheelchair Component Drive Wheel Motor Replacement Only (Revised 01/01/13)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $308.76 / $411.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.53 / $42.53 / $42.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.62 / $327.62 / $342.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.42 / $327.62 / $551.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.75 / $100.00 / $200.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.35 / $77.79 / $496.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.06 / $306.43 / $471.63