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Ohio rates for HCPCS E2395

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.84 / $29.84 / $29.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.18 / $29.84 / $49.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.69 / $69.86 / $111.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.86 / $46.37 / $96.89
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.23 / $65.69 / $66.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.94 / $40.89 / $65.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $39.88 / $77.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $66.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $34.40 / $61.88
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $43.29
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $34.40 / $34.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.69 / $49.04 / $68.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $23.73 / $40.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.12 / $29.90 / $46.37