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Oklahoma rates for HCPCS E2203

Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.02 / $280.04 / $488.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.97 / $451.97 / $451.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.86 / $46.67 / $46.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $539.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $333.25 / $581.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.24 / $431.15 / $2,391.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.40 / $299.29 / $435.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.28 / $277.91 / $411.19