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Illinois rates for HCPCS E2391

Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

Facilitymedian $9 · 10th–90th $1–$170%10%10th90th$9Professionalmedian $12 · 10th–90th $2–$180%20%10th90th$12$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $18.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $1.66 / $1.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $19.50
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.24 / $3.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $7.76 / $17.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $12.88 / $20.42