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Ohio rates for HCPCS E1221

Wheelchair With Fixed Arm Footrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.57 / $356.57 / $356.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.45 / $356.57 / $453.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.28 / $299.04 / $659.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.32 / $66.39 / $557.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.15 / $64.08 / $576.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $627.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.64 / $407.81 / $652.50
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $407.81
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.64 / $407.81 / $407.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.60 / $75.95 / $522.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.71 / $255.59 / $371.28