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Oklahoma rates for HCPCS E1221

Wheelchair With Fixed Arm Footrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.33 / $296.45 / $370.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $407.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.24 / $407.81 / $652.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.83 / $254.89 / $2,978.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.22 / $279.04 / $441.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.22 / $279.33 / $401.83