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Ohio rates for HCPCS E1090

High-strength lightweight wheelchair, detachable arms, desk or full-length, swing-away detachable footrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.40 / $559.40 / $559.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.40 / $559.40 / $781.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.70 / $982.00 / $1,571.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.58 / $172.13 / $1,721.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.56 / $180.73 / $1,807.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.90 / $360.90 / $1,250.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.77 / $360.90 / $1,233.75
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.90 / $360.90 / $402.02
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.90 / $360.90 / $360.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $146.62 / $1,466.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.18 / $665.06 / $988.35