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Oklahoma rates for HCPCS E1190

Amputee Wheelchair Detachable Arms (Desk Or Full Length) Swing Away Detachable Elevating Legrests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.02 / $859.38 / $1,074.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.61 / $1,140.20 / $2,371.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $628.14 / $7,340.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.92 / $687.77 / $1,088.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.86 / $641.91 / $990.24