go back

Ohio rates for HCPCS E2291

Back, planar, for pediatric size wheelchair including fixed attaching hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.01 / $193.01 / $193.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.01 / $238.98 / $238.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.20 / $274.26 / $420.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.13 / $472.50 / $614.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.13 / $401.63 / $496.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $180.13 / $180.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.11 / $153.11 / $180.13
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.13 / $180.13 / $180.13
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.13 / $180.13 / $180.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.50 / $455.00 / $825.54