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Illinois rates for HCPCS K0005

Ultralightweight Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.22 / $1,475.18 / $2,261.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.18 / $219.54 / $219.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.50 / $1,460.50 / $2,793.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.43 / $1,504.32 / $2,994.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $258.27 / $309.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,775.46 / $1,775.46 / $1,775.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.51 / $1,277.94 / $2,212.23