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Oklahoma rates for HCPCS E2390

Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each

Facilitymedian $28 · 10th–90th $3–$580%10%10th90th$28Professionalmedian $25 · 10th–90th $4–$330%10%10th90th$25$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
$15.14 / $25.70 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $4.37 / $4.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $60.26
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $38.90 / $234.42
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $24.55 / $38.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $21.38 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $26.92 / $38.90