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Illinois rates for HCPCS K0015

Detachable, nonadjustable height armrest, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.03 / $108.00 / $144.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.60 / $13.60 / $13.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.17 / $64.17 / $151.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.75 / $64.17 / $202.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.16 / $100.00 / $200.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.39 / $27.20 / $174.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.59 / $96.66 / $162.16