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Oklahoma rates for HCPCS E2386

Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each

Facilitymedian $81 · 10th–90th $9–$1820%10%10th90th$81Professionalmedian $71 · 10th–90th $12–$1000%10%20%10th90th$71$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $11.75 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $81.28 / $147.91
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $125.89 / $575.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $83.18 / $128.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $60.26 / $107.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $83.18 / $128.82