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Illinois rates for HCPCS E2394

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $42.66 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.37 / $5.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $45.71 / $79.43
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.24 / $10.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $30.90 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $47.86 / $70.79