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Ohio rates for HCPCS E2391

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

Facilitymedian $11 · 10th–90th $1$190%10%10th90th$11Professionalmedian $15 · 10th–90th $10$280%10%10th90th$15$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.02 / $19.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $24.55 / $34.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $17.38 / $38.02
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $12.59 / $20.89
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $13.49 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $18.20
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $13.80 / $14.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $20.42 / $30.20
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $30.20 / $40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $8.51 / $15.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $11.22 / $18.20