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Illinois rates for HCPCS E2392

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.87 / $32.59 / $49.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.23 / $5.23 / $5.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.36 / $33.36 / $65.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.36 / $33.36 / $58.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $5.50 / $8.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $8.25 / $51.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $31.05 / $58.33