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Oklahoma rates for HCPCS E2388

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $30.50 / $38.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.62 / $5.09 / $5.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $56.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $37.90 / $67.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.27 / $48.53 / $272.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.23 / $31.75 / $45.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.02 / $33.56 / $44.88