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Illinois rates for HCPCS E2391

Power Wheelchair Accessory Solid (Rubber/Plastic)Caster Tire (Removable) Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.56 / $12.98 / $19.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $26.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $13.81 / $23.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.23 / $3.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.35 / $19.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $12.31 / $23.45