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Ohio rates for HCPCS E2369

Power wheelchair component, drive wheel gear box, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.86 / $261.86 / $261.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.02 / $261.86 / $441.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.04 / $481.04 / $769.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.70 / $382.50 / $649.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.67 / $49.04 / $491.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.22 / $51.49 / $539.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.93 / $332.93 / $545.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.99 / $332.93 / $525.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.93 / $332.93 / $357.22
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.99 / $332.93 / $332.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.68 / $404.53 / $561.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.15 / $236.50 / $359.95