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Ohio rates for HCPCS E2217

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $27.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.22 / $27.38 / $39.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.51 / $64.09 / $102.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.23 / $27.73 / $63.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $36.15 / $54.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $34.40 / $63.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $31.91 / $56.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.12 / $31.91 / $60.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $31.91 / $31.91
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.91 / $31.91 / $31.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $35.00 / $45.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $26.02 / $37.10