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Oklahoma rates for HCPCS E2369

Power wheelchair component, drive wheel gear box, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.97 / $242.28 / $302.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.93 / $332.93 / $461.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.75 / $332.93 / $525.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $317.99 / $1,865.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.60 / $281.10 / $401.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.71 / $283.45 / $382.45