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Illinois rates for HCPCS E2369

Power wheelchair component, drive wheel gear box, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.97 / $285.42 / $380.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.93 / $332.93 / $343.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.86 / $332.93 / $525.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $100.00 / $200.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.17 / $73.56 / $432.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.76 / $283.18 / $435.54