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Ohio rates for HCPCS E1016

Shock absorber for power wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.09 / $77.09 / $77.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.69 / $77.09 / $111.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.96 / $180.49 / $288.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.57 / $111.61 / $245.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.00 / $106.73 / $158.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.70 / $100.80 / $195.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.16 / $88.16 / $159.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.94 / $88.16 / $157.13
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.16 / $88.16 / $104.45
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.16 / $88.16 / $88.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.94 / $131.18 / $189.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.44 / $74.31 / $111.61