go back

Illinois rates for HCPCS E2375

Power wheelchair accessory, nonexpandable controller, including all related electronics and mounting hardware, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.95 / $493.74 / $680.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.27 / $61.27 / $61.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $545.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.77 / $407.96 / $933.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.58 / $100.00 / $200.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.91 / $122.54 / $709.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.18 / $487.61 / $782.04