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Illinois rates for HCPCS E2387

Power wheelchair accessory, foam filled caster tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.90 / $38.27 / $57.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.01 / $39.01 / $77.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $39.01 / $67.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.43 / $6.39 / $9.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.19 / $9.59 / $62.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.10 / $38.85 / $69.14