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Ohio rates for HCPCS E0955

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.66 / $94.66 / $94.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.66 / $97.68 / $203.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.82 / $113.82 / $167.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.93 / $208.01 / $332.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.97 / $171.85 / $359.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $20.69 / $169.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $20.69 / $286.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.12 / $129.12 / $245.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $129.12 / $202.50
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.12 / $129.12 / $153.94
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.61 / $129.12 / $129.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $225.00 / $312.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.56 / $92.30 / $161.74