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Illinois rates for HCPCS E2626

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $457.09 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $275.42 / $891.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $77.62 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $275.42 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $398.11 / $676.08