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Oklahoma rates for HCPCS E1233

Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.27 / $1,626.42 / $2,033.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.45 / $271.07 / $271.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $3,020.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.80 / $1,406.76 / $3,588.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.57 / $1,994.16 / $13,890.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.89 / $1,384.28 / $2,060.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.20 / $1,384.28 / $2,056.64