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Oklahoma rates for HCPCS E2394

Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.31 / $38.71 / $48.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $6.46 / $6.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.18 / $46.18 / $72.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $46.18 / $80.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.36 / $73.95 / $331.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.93 / $47.95 / $68.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.93 / $47.95 / $65.23