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Ohio rates for HCPCS E0966

Manual Wheelchair Accessory Headrest Extension Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.67 / $46.67 / $46.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.44 / $46.67 / $64.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.05 / $66.06 / $148.59
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.47 / $90.47 / $90.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.79 / $61.31 / $90.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $57.68 / $107.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $82.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $35.54 / $103.13
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $74.12
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $65.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.75 / $64.69 / $93.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.89 / $43.34 / $62.96