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Oklahoma rates for HCPCS E2386

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.52 / $70.66 / $88.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.80 / $11.78 / $11.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.17 / $81.17 / $137.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.98 / $81.17 / $144.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.57 / $133.18 / $582.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.25 / $87.31 / $134.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.25 / $87.31 / $127.93