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Ohio rates for HCPCS E1028

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.09 / $85.09 / $85.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.09 / $111.67 / $416.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.24 / $167.24 / $167.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.41 / $203.15 / $325.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.26 / $175.56 / $291.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.34 / $24.86 / $191.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $40.94 / $273.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $110.00 / $250.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.50 / $93.50 / $234.38
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $110.00 / $153.76
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.89 / $110.00 / $110.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.08 / $79.76 / $165.23