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Oklahoma rates for HCPCS E1234

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.53 / $1,416.00 / $2,913.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.59 / $236.00 / $236.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $2,629.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.49 / $1,208.78 / $3,123.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.52 / $1,736.06 / $12,092.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.72 / $1,205.10 / $1,793.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.72 / $1,134.22 / $1,790.45