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Ohio rates for HCPCS E1130

Standard wheelchair, fixed full-length arms, fixed or swing-away detachable footrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.16 / $215.16 / $215.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.43 / $215.16 / $300.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.00 / $355.00 / $568.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.31 / $74.67 / $746.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.53 / $78.40 / $774.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.24 / $199.24 / $480.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.68 / $354.68 / $614.05
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.24 / $199.24 / $199.24
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.68 / $354.68 / $354.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.31 / $63.60 / $636.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.22 / $255.79 / $371.28