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Oklahoma rates for HCPCS E2390

Power Wheelchair Accessory Solid (Rubber/Plastic)Drive Wheel Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.78 / $26.27 / $32.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $4.38 / $4.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $48.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.87 / $32.79 / $58.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.37 / $41.23 / $235.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.19 / $26.96 / $39.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.68 / $24.82 / $38.21