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Ohio rates for HCPCS E0304

Hospital bed, extra heavy-duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,164.26 / $3,164.26 / $9,899.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,164.26 / $3,408.48 / $5,357.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,086.53 / $4,624.00 / $10,764.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.44 / $610.62 / $6,658.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.81 / $622.21 / $6,658.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.50 / $3,681.54 / $7,706.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.92 / $4,550.34 / $8,385.94
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.50 / $422.50 / $3,681.54
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.50 / $422.50 / $4,550.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.92 / $813.82 / $5,425.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,915.06 / $3,029.48 / $4,654.83