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Missouri rates for HCPCS E0966

Manual Wheelchair Accessory Headrest Extension Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.27 / $59.81 / $66.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.18 / $67.55 / $70.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $59.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $35.54 / $65.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.61 / $80.37 / $405.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.83 / $46.00 / $96.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $46.00 / $97.61