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Ohio rates for HCPCS E2396

Power wheelchair accessory, caster fork, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.06 / $33.06 / $33.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.03 / $33.06 / $58.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.14 / $77.38 / $123.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.05 / $52.09 / $105.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.60 / $46.43 / $68.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.26 / $43.42 / $80.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.67 / $42.67 / $80.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $42.67 / $70.13
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.67 / $42.67 / $51.15
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.67 / $42.67 / $42.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $50.83 / $70.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.79 / $32.90 / $48.05