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Ohio rates for HCPCS E1012

Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.47 / $723.47 / $723.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.64 / $723.47 / $951.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.79 / $2,696.25 / $3,076.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.99 / $949.90 / $1,424.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.61 / $135.47 / $1,024.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.53 / $135.47 / $2,524.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.00 / $795.00 / $1,497.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.75 / $795.00 / $1,571.25
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.00 / $795.00 / $950.31
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.49 / $795.00 / $795.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.00 / $2,200.00 / $3,172.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.72 / $665.76 / $855.01