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Ohio rates for HCPCS E1004

Wheelchair accessory, power seating system, recline only, with mechanical shear reduction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,100.02 / $3,100.02 / $3,100.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,027.18 / $3,100.02 / $4,966.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,115.95 / $4,138.68 / $6,808.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.66 / $580.54 / $4,956.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.12 / $586.34 / $4,956.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $3,282.89 / $6,417.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,790.46 / $3,282.89 / $6,731.25
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $3,282.89 / $3,282.89
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,790.46 / $3,282.89 / $3,282.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,202.82 / $3,304.24 / $4,589.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,906.64 / $2,859.96 / $4,161.68