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Oklahoma rates for HCPCS E2201

Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 in and less than 24 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.99 / $209.32 / $380.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.06 / $34.89 / $34.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.42 / $243.42 / $404.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.91 / $243.42 / $431.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.71 / $335.79 / $1,745.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.85 / $233.10 / $333.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.85 / $206.14 / $317.14