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Oklahoma rates for HCPCS E2222

Manual Wheelchair Accessory Solid (Rubber/Plastic) Caster Tire With Integrated Wheel Any Size Replacement Only Each (Desc Revised 01/01/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $14.09 / $17.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $2.34 / $2.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $26.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $17.30 / $38.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.06 / $18.95 / $124.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $13.90 / $20.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $13.90 / $20.19