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Ohio rates for HCPCS E2216

Manual wheelchair accessory, foam filled propulsion tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $36.31 / $52.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $63.10 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $37.15 / $72.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $28.18 / $47.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $34.67 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $56.23
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $56.23
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $36.31 / $47.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $34.67 / $56.23
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $61.66 / $104.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $22.39 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $29.51 / $43.65