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Oklahoma rates for HCPCS E2204

Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.12 / $479.47 / $829.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.72 / $79.91 / $79.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.42 / $581.42 / $927.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.22 / $581.42 / $1,038.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.13 / $732.06 / $4,173.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.68 / $511.18 / $748.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.68 / $471.87 / $706.94