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Illinois rates for HCPCS E2381

Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $45.71 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $47.86 / $83.18
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $7.76 / $10.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $30.90 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $47.86 / $69.18