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Ohio rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.72 / $753.72 / $753.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.28 / $753.72 / $1,188.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.04 / $990.50 / $1,629.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.27 / $140.32 / $1,186.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.22 / $147.34 / $1,186.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $1,560.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.53 / $606.51 / $1,627.50
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $606.51
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.53 / $606.51 / $606.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.18 / $790.77 / $1,098.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.20 / $697.80 / $1,092.41