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Oklahoma rates for HCPCS E2395

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

Facilitymedian $30 · 10th–90th $4–$740%5%10%10th90th$30Professionalmedian $28 · 10th–90th $5–$360%10%20%10th90th$28$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
$19.95 / $28.18 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $4.79 / $4.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $34.67 / $63.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $48.98 / $245.47
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $31.62 / $47.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $23.99 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $31.62 / $47.86