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Oklahoma rates for HCPCS E1087

High Strength Lightweight Wheelchair Fixed Full Length Arms Swing Away Detachable Elevating Leg Rests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.44 / $928.80 / $1,161.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.95 / $1,232.30 / $2,564.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.07 / $678.70 / $7,933.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.02 / $743.08 / $1,176.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.66 / $744.02 / $1,070.15