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Illinois rates for HCPCS E2388

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.84 / $33.24 / $51.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $4.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $65.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $37.90 / $67.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $5.80 / $8.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $8.69 / $48.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $29.92 / $51.70