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Oklahoma rates for HCPCS E1172

Amputee wheelchair, detachable arms (desk or full-length) without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $724.44 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $831.76 / $1,584.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $549.54 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $575.44 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $398.11 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $575.44 / $831.76