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Oklahoma rates for HCPCS E2217

Manual wheelchair accessory, foam filled caster tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.12 / $30.15 / $54.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $31.91 / $48.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.12 / $31.91 / $60.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.66 / $39.74 / $228.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.19 / $26.62 / $40.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.43 / $26.62 / $40.95