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Illinois rates for HCPCS E2612

General use wheelchair back cushion, width 22 in or greater, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.87 / $228.53 / $367.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.56 / $27.93 / $27.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.78 / $243.78 / $498.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.21 / $251.09 / $430.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.24 / $36.75 / $73.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.79 / $405.79 / $405.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.54 / $242.43 / $464.83