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Missouri rates for HCPCS E0955

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.95 / $125.10 / $170.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.44 / $167.99 / $167.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.00 / $141.44 / $194.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.12 / $129.12 / $131.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $129.12 / $132.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.34 / $164.18 / $911.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.63 / $106.97 / $187.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.72 / $93.60 / $175.80