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Illinois rates for HCPCS E2627

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.35 / $659.89 / $1,104.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.76 / $84.76 / $84.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.66 / $542.66 / $1,294.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.14 / $542.66 / $1,327.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.06 / $113.01 / $140.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.63 / $827.63 / $827.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.86 / $561.16 / $995.38