go back

Oklahoma rates for HCPCS E2389

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $16.92 / $21.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $2.82 / $2.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.16 / $21.16 / $31.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $21.16 / $37.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $26.36 / $151.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.99 / $17.23 / $25.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.33 / $17.23 / $24.69