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Oklahoma rates for HCPCS E2391

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.56 / $11.18 / $13.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.87 / $1.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $20.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $13.81 / $23.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.84 / $19.73 / $99.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $12.81 / $18.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $12.92 / $17.43