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Illinois rates for HCPCS K0004

High Strength Lightweight Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.09 / $482.28 / $641.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.85 / $50.85 / $52.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.45 / $654.75 / $654.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.75 / $654.00 / $674.39
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.27 / $121.57 / $233.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.21 / $76.28 / $868.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.21 / $433.96 / $807.41