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Ohio rates for HCPCS E2293

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.74 / $446.74 / $446.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.99 / $446.74 / $446.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.20 / $261.20 / $420.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.75 / $742.50 / $1,181.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.75 / $573.75 / $708.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $296.00 / $296.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.60 / $251.60 / $251.60
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $296.00 / $296.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.60 / $296.00 / $296.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.00 / $650.00 / $1,179.34