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Ohio rates for HCPCS E2391

Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.91 / $11.91 / $11.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.12 / $11.91 / $20.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.23 / $27.88 / $44.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.88 / $17.43 / $37.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $15.73 / $24.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $15.73 / $29.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $24.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $13.81 / $23.63
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $16.39
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.81 / $13.81 / $13.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.29 / $18.44 / $25.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $11.63 / $17.44