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Illinois rates for HCPCS E2628

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.20 / $529.09 / $805.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.22 / $67.22 / $67.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.39 / $369.39 / $975.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.64 / $369.39 / $1,046.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.22 / $89.62 / $111.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.52 / $733.52 / $733.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.85 / $481.19 / $787.48