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Oklahoma rates for HCPCS E2627

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable Rancho type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.35 / $642.25 / $802.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.66 / $542.66 / $1,091.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.14 / $542.66 / $1,327.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.87 / $842.96 / $5,719.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.20 / $654.44 / $904.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.64 / $660.05 / $904.89