go back

Illinois rates for HCPCS E2631

Wheelchair Accessory Addition To Mobile Arm Support Elevating Proximal Arm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.83 / $191.16 / $297.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.48 / $24.48 / $24.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.43 / $244.43 / $345.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.43 / $244.43 / $448.59
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.74 / $32.64 / $48.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.66 / $259.66 / $259.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.03 / $170.34 / $254.06