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Ohio rates for HCPCS E2394

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.32 / $38.32 / $38.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.32 / $38.49 / $70.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.09 / $89.70 / $143.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.04 / $65.23 / $136.35
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.13 / $90.84 / $92.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $53.82 / $92.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.10 / $52.54 / $108.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.18 / $46.18 / $93.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $46.18 / $80.25
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.18 / $46.18 / $60.89
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.18 / $46.18 / $46.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $69.00 / $95.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.23 / $41.10 / $63.07