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Ohio rates for HCPCS E2388

Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.95 / $30.95 / $30.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.50 / $30.95 / $55.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.56 / $72.44 / $115.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.59 / $42.83 / $95.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.93 / $42.80 / $60.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $39.11 / $74.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $67.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $37.90 / $67.13
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $37.90
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $37.90 / $37.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.21 / $45.31 / $62.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $28.94 / $42.83