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Ohio rates for HCPCS E1087

High strength lightweight wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.56 / $923.56 / $923.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.94 / $923.56 / $1,208.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.30 / $846.26 / $2,152.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.70 / $171.95 / $1,659.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.77 / $165.94 / $1,631.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.91 / $441.91 / $1,670.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.30 / $1,232.30 / $2,564.06
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.91 / $441.91 / $441.91
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.95 / $1,232.30 / $1,232.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.19 / $196.67 / $1,352.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.58 / $680.78 / $1,010.70