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Ohio rates for HCPCS E2626

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $478.63 / $602.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $851.14 / $1,202.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $562.34 / $1,174.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $371.54 / $741.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $426.58 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $234.42 / $676.08
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $707.95
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $234.42 / $676.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $616.60 / $977.24
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $870.96 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $295.12 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $389.05 / $562.34