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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
Professional
Modifier
Low / Median / High Price
$28.31 / $43.63 / $68.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $5.39 / $5.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.18 / $46.18 / $92.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $46.18 / $80.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.10 / $7.18 / $10.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $10.77 / $73.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.79 / $44.68 / $89.78