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Oklahoma rates for HCPCS E2395

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.12 / $28.59 / $35.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $4.76 / $4.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $53.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $34.40 / $61.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.87 / $52.55 / $247.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.32 / $34.08 / $48.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.94 / $23.45 / $36.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.32 / $34.36 / $46.37