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Oklahoma rates for HCPCS E1200

Amputee wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.38 / $638.70 / $798.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.73 / $746.73 / $746.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.92 / $746.73 / $1,196.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.24 / $466.91 / $5,455.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.12 / $511.06 / $809.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.76 / $511.68 / $735.99