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Illinois rates for HCPCS E2396

Power wheelchair accessory, caster fork, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.53 / $37.69 / $59.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $4.63 / $4.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.67 / $42.67 / $81.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $42.67 / $70.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.26 / $6.19 / $9.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $9.28 / $63.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.71 / $38.45 / $76.65