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Oklahoma rates for HCPCS E1020

Residual Limb Support System For Wheelchair Any Type (Revised 01/01/13)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.79 / $122.28 / $179.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.93 / $197.93 / $197.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.45 / $20.38 / $20.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.98 / $123.98 / $229.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.16 / $123.98 / $251.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.11 / $165.52 / $1,102.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.84 / $152.07 / $217.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.84 / $152.07 / $206.90