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Oklahoma rates for HCPCS E2387

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.90 / $32.78 / $40.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.50 / $54.50 / $54.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.47 / $5.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.01 / $39.01 / $63.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $39.01 / $67.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.82 / $60.74 / $280.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.56 / $40.96 / $60.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.56 / $42.16 / $57.37