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Ohio rates for HCPCS E1171

Amputee wheelchair, fixed full-length arms, without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.28 / $511.28 / $511.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.28 / $514.91 / $787.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.78 / $408.80 / $945.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.91 / $95.18 / $918.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.87 / $95.18 / $918.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.55 / $687.90 / $1,058.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.72 / $687.90 / $1,188.75
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.55 / $687.90 / $687.90
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.72 / $687.90 / $687.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.04 / $108.89 / $748.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.56 / $431.33 / $626.58