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Illinois rates for HCPCS E2395

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.12 / $33.08 / $51.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $4.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $67.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $34.40 / $61.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $5.59 / $8.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.29 / $8.39 / $52.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $22.82 / $41.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.89 / $31.68 / $59.76