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Missouri rates for HCPCS E0967

Manual Wheelchair Accessory Hand Rim With Projections Any Type Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.35 / $58.01 / $72.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $64.43 / $69.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.33 / $44.33 / $44.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.68 / $37.68 / $44.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.35 / $73.95 / $407.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.24 / $44.51 / $93.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.24 / $44.51 / $94.22