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Oklahoma rates for HCPCS E2628

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.20 / $479.05 / $598.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.39 / $369.39 / $822.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.64 / $369.39 / $1,046.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.76 / $640.58 / $4,343.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.76 / $497.24 / $689.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.85 / $497.24 / $689.42