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Ohio rates for HCPCS E2294

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.83 / $264.83 / $264.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.83 / $275.70 / $275.70
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 / $226.63 / $226.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.64 / $192.64 / $192.64
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.63 / $226.63 / $226.63
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.64 / $226.63 / $226.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.00 / $650.00 / $1,179.34