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Oklahoma rates for HCPCS E2221

Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $16.64 / $20.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $2.79 / $2.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $31.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $20.72 / $36.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $23.93 / $148.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $16.69 / $24.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $15.28 / $23.72