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Oklahoma rates for HCPCS E1295

Heavy Duty Wheelchair Fixed Full Length Arms Elevating Legrest (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.84 / $808.50 / $1,010.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.44 / $1,042.44 / $1,042.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.94 / $886.07 / $2,090.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.82 / $651.66 / $7,614.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.10 / $713.49 / $1,129.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.85 / $713.49 / $1,027.30