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Oklahoma rates for HCPCS E2612

General use wheelchair back cushion, width 22 in or greater, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.87 / $205.07 / $430.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.32 / $34.18 / $34.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.78 / $243.78 / $398.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.21 / $243.78 / $430.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $380.29 / $1,749.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.96 / $257.01 / $377.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.96 / $245.13 / $359.16