go back

Oklahoma rates for HCPCS E0958

Manual wheelchair accessory, one-arm drive attachment, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.72 / $272.33 / $340.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.32 / $45.39 / $45.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.00 / $238.50 / $505.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.73 / $238.50 / $615.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.76 / $245.42 / $2,575.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.02 / $222.18 / $336.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $170.10 / $269.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.02 / $198.54 / $336.31