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Ohio rates for HCPCS E1170

Amputee wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.79 / $569.79 / $569.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.34 / $569.79 / $853.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.46 / $455.50 / $1,053.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.80 / $106.09 / $1,024.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.80 / $106.09 / $1,024.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.74 / $766.64 / $1,179.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.64 / $651.64 / $1,537.50
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.74 / $766.64 / $766.64
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.64 / $766.64 / $766.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.00 / $75.84 / $758.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.12 / $480.47 / $697.96