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Ohio rates for HCPCS E2619

Replacement cover for wheelchair seat cushion or back cushion, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.86 / $31.86 / $31.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.31 / $31.86 / $57.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.12 / $74.59 / $119.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.38 / $43.62 / $77.56
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.73 / $61.78 / $65.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.07 / $43.61 / $61.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.62 / $40.15 / $76.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.06 / $39.06 / $58.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $39.06 / $69.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.06 / $39.06 / $51.26
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.06 / $39.06 / $51.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.01 / $51.27 / $73.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.72 / $29.63 / $48.48