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Illinois rates for HCPCS E2384

Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $46.77 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $48.98 / $87.10
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $7.94 / $10.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $32.36 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $51.29 / $74.13