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Ohio rates for HCPCS E2215

Manual wheelchair accessory, tube for pneumatic caster tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.67 / $6.67 / $6.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.67 / $9.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.33 / $15.61 / $24.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $9.42 / $18.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $9.05 / $13.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $8.43 / $16.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $14.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $8.00 / $14.63
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.68
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.67 / $9.59 / $13.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $6.29 / $8.16