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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
$23.99 / $33.11 / $39.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.50 / $5.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $38.90 / $67.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $57.54 / $281.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $38.90 / $57.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $25.70 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $38.90 / $57.54