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Oklahoma rates for HCPCS E2389

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

Facilitymedian $18 · 10th–90th $2–$370%10%10th90th$18Professionalmedian $16 · 10th–90th $3–$210%10%20%10th90th$16$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$10.00 / $16.22 / $20.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.82 / $2.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $21.38 / $37.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $24.55 / $151.36
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $15.85 / $24.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $13.80 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $16.98 / $25.12